Lawrence Joel Maltin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

092486 Issued in NY

Practice address

102 Cypress Dr
Woodbury, NY 11797-1522

Phone

(516) 367-3490

Fax

(516) 367-3490

NPI assigned

Mar 27, 2013

Last updated

Mar 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 1, 2016 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lawrence J. Maltin, M.D.,P.C.

  • Specialist
  • Woodbury, NY
  • NPI 1407973860
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1023351145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CYPRESS DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971522",
            "telephone_number": "516-367-3490",
            "fax_number": "516-367-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CYPRESS DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971522",
            "telephone_number": "516-367-3490",
            "fax_number": "516-367-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTIN",
        "first_name": "LAWRENCE",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "092486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle M Magrini, DO
• Dana Michelle Mahan, COTA
• Richard H Maisel, M.D.
• Deepika Malik
• Shari Beth Mallor, MSED
• Marjorie S. Maltin, ED.D.
• Jill Mandel, MS CCC-SLP
• Traci Conrad Mankuta, MAED
• Lucian Miron Manu, M.D.
• Samantha Marinaro, NP

• Psychiatry Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.