Organization Active NPI

Brian a Maloney M D P C

  • Specialist
  • Staten Island, NY
National Provider Identifier
1043452386
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
128904 Issued in NY
Legal business name
BRIAN A MALONEY M D P C
Practice address
3225 Victory Blvd
Staten Island, NY 10314-6703
Phone
(718) 980-9840
Fax
(718) 980-9843
NPI assigned
Apr 1, 2009
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Brian Anthony Maloney, M.D.
Title
Officer
Phone
(718) 980-9840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 128904 NY Primary

Addresses

Primary practice location

3225 Victory Blvd
Staten Island, NY 10314-6703

Mailing address

3225 Victory Blvd
Staten Island, NY 10314-6703
Phone (718) 980-9840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1043452386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146703",
            "telephone_number": "718-980-9840",
            "fax_number": "718-980-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146703",
            "telephone_number": "718-980-9840",
            "fax_number": "718-980-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A MALONEY M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-980-9840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "128904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.