Provider Demographics
NPI:1770462756
Name:GADDI, VALERIO LEVIN T III (MSN, RN, AGACNP-BC)
Entity type:Individual
Prefix:MR
First Name:VALERIO LEVIN
Middle Name:T
Last Name:GADDI
Suffix:III
Gender:M
Credentials:MSN, RN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MAIN ST APT 112
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5742
Mailing Address - Country:US
Mailing Address - Phone:201-336-2592
Mailing Address - Fax:
Practice Address - Street 1:240 MAIN ST APT 112
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5742
Practice Address - Country:US
Practice Address - Phone:201-336-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY433375363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care