Individual provider Active NPI

Robert W Malizia, MD

  • Emergency Medicine Physician
  • Staten Island, NY
National Provider Identifier
1144426149
Registry record updated Jul 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
263906 Issued in NY
Practice address
1551 Richmond Rd
Suite 1a
Staten Island, NY 10304-2313
Phone
(718) 987-4891
Fax
(718) 987-4893
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 263906 NY Primary

Addresses

Primary practice location

1551 Richmond Rd
Suite 1a
Staten Island, NY 10304-2313

Mailing address

1551 Richmond Rd
Suite 1a
Staten Island, NY 10304-2313
Phone (718) 987-4891

Other identifiers 1

IdentifierTypeStateIssuer
03458468MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200323001754 DE Practitioner - Emergency Medicine 5991806549 Reassigns benefits to 1 organization
I20210524000486 MD Practitioner - Emergency Medicine 5991806549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DRX Paramus, LLC Current Accepting new patients
Christiana Care Quality Partners CurrentSince Mar 6, 2020 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Emerginet, LLC PastSince Jul 1, 2001 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Cherokee Emergency Services, LLC Past Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

659 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 543-2020

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

67 E Ridgewood Ave
#U
Paramus, NJ 07652
Phone (201) 262-2010

Interoperability endpoints

  • Direct secure messaging: robert.malizia@ghuccc.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373068800000",
    "number": "1144426149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "address_2": "SUITE 1A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-987-4891",
            "fax_number": "718-987-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "address_2": "SUITE 1A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-987-4891",
            "fax_number": "718-987-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIZIA",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2013-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "263906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03458468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.