Kim Malcolm

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

612373 Issued in NY

Practice address

94 Courtney Ave
Newburgh, NY 12550-6305

Phone

(845) 527-9997

NPI assigned

Aug 27, 2018

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1033690151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125511482",
            "telephone_number": "845-527-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 COURTNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506305",
            "telephone_number": "845-527-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Nmi Madoff, D.D.S.
• Diana Magiricu, DO
• Jennifer Lynn Mahedy, CRNA
• Stacy-Ann M Maitland, LMSW
• Deja Malcolm, LPN
• Anamarcela Maldonado
• Jayashri C Malkani, DDS
• Abida K Mallick, MD
• Elizabeth Mambondimumwe, RPT
• Sandra S Mamis, RPA-C

• Registered Nurse in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.