Paul Maller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

126019 Issued in NY

Practice address

22 South Tyson Ave
Floral Park, NY 11001

Phone

(516) 437-5151

Fax

(516) 437-0235

NPI assigned

Oct 10, 2006

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

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Gastroenterology

Education

JS Weill Medical College, Cornell University, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Expert Medical Services LLC

  • Legal Medicine
  • New York, NY
  • NPI 1215019377
  Medicare reassignment NPD
• Dr.Nina S. Patel DDS., P.C.

  • General Practice Dentistry
  • Floral Park, NY
  • NPI 1578692380
  NPD (past)
• Expert Mobile Health

  • Emergency Medicine Physician
  • Floral Park, NY
  • NPI 1770284226
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144317025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SOUTH TYSON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11001",
            "telephone_number": "516-437-5151",
            "fax_number": "516-437-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SOUTH TYSON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11001",
            "telephone_number": "516-437-5151",
            "fax_number": "516-437-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLER",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "126019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnus Sports & DME Services Inc
• Kerian Maharaj
• Terence T Mahase, D.D.S.
• Margarita Malayeva, FNP
• Alma Amani Malik
• Vishnell Mandahar
• Lisa-Anne Mango, MSPT
• Maria Elizabeth Maniquis-Yao
• Marc E Wietschner MD P C
• Evelyn Marron, M.S. SP. ED.

• Internal Medicine Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.