Benito NMN Malave, ORTHOTIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO003796 Issued in VA

Practice address

100 Emancipation Dr
590/121
Hampton, VA 23667-0001

Phone

(757) 722-9961

Fax

(757) 726-6076

NPI assigned

Dec 31, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Benito NMN Malave Professional name

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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1073759635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236670001",
            "telephone_number": "757-722-9961",
            "fax_number": "757-726-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMANCIPATION DR",
            "address_2": "590/121",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236670001",
            "telephone_number": "757-722-9961",
            "fax_number": "757-726-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVE",
        "first_name": "BENITO",
        "middle_name": "NMN",
        "name_prefix": "Mr.",
        "credential": "ORTHOTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "CO003796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITO",
            "last_name": "MALAVE",
            "middle_name": "NMN",
            "prefix": "MR.",
            "credential": "CO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alaaeldin Mohamed Mahmoud, M.D.
• Patricia Mailloux, MS, OTR/L
• Sohini Majumdar, M.D.
• Ferdinand Nmi Makabata, IDMT
• Frances Makamson, CRNA
• Edwin Camacho Malixi, M.D.
• Jasmine Janae Malone, PMHNP-BC
• Sylvannah Malone, M.A.
• Paul B Maloof, MD
• Managing Loving Healing Mental Health Services LLC

• Specialist in Hampton, VA
• Providers in Hampton, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.