Active NPI
Spencer Jason Malkin, DC
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1023391737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 008635-1
- Practice address
- 415 Avenue P
Lower Level
Brooklyn, NY 11223-1824 - Phone
- (917) 815-2299
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 008635-1 | NY | Primary |
Addresses
Primary practice location
415 Avenue P
Lower Level
Brooklyn, NY 11223-1824
Mailing address
218 E Park Ave
Suite 633
Long Beach, NY 11561-3521
Phone (917) 815-2299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008635-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1023391737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 E PARK AVE",
"address_2": "SUITE 633",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613521",
"telephone_number": "917-815-2299",
"fax_number": "516-706-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 AVENUE P",
"address_2": "LOWER LEVEL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231824",
"telephone_number": "917-815-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKIN",
"first_name": "SPENCER",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "008635-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.