Active NPI
Barry T Malin, M.D.
- Urology Physician
- Williamsville, NY
National Provider Identifier
1124060918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 090118-1
- Practice address
- 6333 Main St
Williamsville, NY 14221-5800 - Phone
- (716) 634-6621
- Fax
- (716) 634-1584
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 090118-1 | NY | Primary |
Addresses
Primary practice location
6333 Main St
Williamsville, NY 14221-5800
Mailing address
6333 Main St
Williamsville, NY 14221-5800
Phone (716) 634-6621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00496240 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090118-1 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1124060918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215800",
"telephone_number": "716-634-6621",
"fax_number": "716-634-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215800",
"telephone_number": "716-634-6621",
"fax_number": "716-634-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIN",
"first_name": "BARRY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "090118-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00496240",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.