Organization Active NPI

Michael Malotz Skilled Nursing Pavillion

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1104157866
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHAEL MALOTZ SKILLED NURSING PAVILLION
Practice address
120 Odell Ave
Yonkers, NY 10701-1408
Phone
(914) 964-3333
Fax
(914) 964-4726
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Sherwin Chue
Title
Vice President / Cfo
Phone
(914) 964-4723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

120 Odell Ave
Yonkers, NY 10701-1408

Mailing address

120 Odell Ave
Yonkers, NY 10701-1408
Phone (914) 964-3333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1104157866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ODELL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011408",
            "telephone_number": "914-964-3333",
            "fax_number": "914-964-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ODELL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011408",
            "telephone_number": "914-964-3333",
            "fax_number": "914-964-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MALOTZ SKILLED NURSING PAVILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "CHUE",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_title_or_position": "VICE PRESIDENT / CFO",
        "authorized_official_telephone_number": "914-964-4723"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.