Organization Active NPI

Ronald G Malseptic MD

  • Nephrology Physician
  • Plattsburgh, NY
National Provider Identifier
1023433778
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
147599 Issued in NY
Legal business name
RONALD G MALSEPTIC MD
Practice address
1942 Military Tpke
Plattsburgh, NY 12901-7375
Phone
(518) 310-3644
Fax
(518) 310-3645
NPI assigned
Mar 4, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Tammey Lee Drollette
Title
Office Manager/Delegated Official
Phone
(518) 310-3644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 147599 NY Primary

Addresses

Primary practice location

1942 Military Tpke
Plattsburgh, NY 12901-7375

Mailing address

1942 Military Tpke
Plattsburgh, NY 12901-7375
Phone (518) 310-3644

Other identifiers 1

IdentifierTypeStateIssuer
2JNMedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1023433778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017375",
            "telephone_number": "518-310-3644",
            "fax_number": "518-310-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 MILITARY TPKE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017375",
            "telephone_number": "518-310-3644",
            "fax_number": "518-310-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G MALSEPTIC MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "DROLLETTE",
        "authorized_official_first_name": "TAMMEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "518-310-3644"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "147599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2JN",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.