Active NPI
Malky Smith
- Case Manager/Care Coordinator
- Spring Valley, NY
National Provider Identifier
1144646761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5 Ridge Ave
Apt 103
Spring Valley, NY 10977-9407 - Phone
- (845) 300-0479
- NPI assigned
- Mar 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5 Ridge Ave
Apt 103
Spring Valley, NY 10977-9407
Mailing address
5 Ridge Ave
Apt 103
Spring Valley, NY 10977-9407
Phone (845) 300-0479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558598813 | 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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1144646761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 RIDGE AVE",
"address_2": "APT 103",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109779407",
"telephone_number": "845-300-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RIDGE AVE",
"address_2": "APT 103",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109779407",
"telephone_number": "845-300-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MALKY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558598813",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.