Mary Beth Maloy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

194614-1 Issued in NY

Practice address

7510 Abbott Hill Rd
Boston, NY 14025-9750

Phone

(716) 941-6379

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

No

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, last updated by the provider on Sep 16, 2008.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1063661908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 ABBOTT HILL RD",
            "city": "BOSTON",
            "state": "NY",
            "postal_code": "140259750",
            "telephone_number": "716-941-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 ABBOTT HILL RD",
            "city": "BOSTON",
            "state": "NY",
            "postal_code": "140259750",
            "telephone_number": "716-941-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOY",
        "first_name": "MARY BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "194614-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Susan Davis, COTA
• Charles Joseph Hornberger Sr., OD
• Learning Ladder Therapeutic Assoc. Inc.
• Karen L. Leatherbarrow, MS, CCC/SLP
• Phanith Leang Lim, D.D.S.
• Kelly Lynn Martin, LMT
• Charles Alan Matlach
• Vincent M Mendola, DDS
• Bernard J Michaels, DDS
• Robert Moynihan

• All providers in Boston, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.