Avi Malkis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

010670 Issued in CT

Practice address

222 E 82ND St
Apartment 1D
New York, NY 10028-2742

Phone

(347) 524-4222

NPI assigned

Feb 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1063785905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 82ND ST",
            "address_2": "APARTMENT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282742",
            "telephone_number": "347-524-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 82ND ST",
            "address_2": "APARTMENT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282742",
            "telephone_number": "347-524-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIS",
        "first_name": "AVI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "010670",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Malkin, PSYD
• Olga Malkin, DMD
• Valerie Beth Malkin, DC
• Victoria Malkin, PHD. LP
• Malkis Chiropractic Health Services PC
• Josef Malkis, D.C.
• Deborah Amy Malkoff, MS RD CDN
• Laurie Malkoff, M.D.
• Eric James Mallack, M.D.
• Divya Mallam, MD

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.