Active NPI
Jennifer B Malamas, MD
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 224461
- Practice address
- 1000 10TH Ave
New York, NY 10019-1147 - Phone
- (212) 523-6745
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 224461 | NY | Primary |
Addresses
Primary practice location
1000 10TH Ave
New York, NY 10019-1147
Mailing address
407 Airport Executive Park
Nanuet, NY 10954-5288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02281730 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Howard University College of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
228 Park Ave S
Suite 49409
New York, NY 10003-1502
Phone (646) 760-6669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224461 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Long Island College Hospital | Emergency Medicine | Past | Accepting new patients |
| St Lukes Roosevelt Hospital Center | Emergency Medicine | Past | Accepting new patients |
Locations
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
2232 Lyell Ave
Rochester, NY 14606
Phone (585) 417-4125
Interoperability endpoints
- jennifer.malamas.5@31312.direct.athenahealth.com
Organizations & group practices 8
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.
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- Nuclear Medicine Physician
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- Dermatopathology (Pathology) Physician
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- NPI 1841531795
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1912091828
-
- Emergency Medicine Physician
- New York, NY
- NPI 1134211717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1164596466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 AIRPORT EXECUTIVE PARK",
"city": "NANUET",
"state": "NY",
"postal_code": "109545288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-523-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAMAS",
"first_name": "JENNIFER",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "224461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02281730",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.