Organization Active NPI

Meir Malmazada M.D. P.C.

  • Pulmonary Disease Physician
  • New City, NY
National Provider Identifier
1174691398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
205321 Issued in NY
Legal business name
MEIR MALMAZADA M.D. P.C.
Practice address
345 N Main St
Suite 11
New City, NY 10956-4305
Phone
(845) 639-4949
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Meir Malmazada, M.D.NPI 1669408993
Title
Owner
Phone
(845) 639-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 205321 NY Primary

Addresses

Primary practice location

345 N Main St
Suite 11
New City, NY 10956-4305

Mailing address

345 N Main St
Suite 11
New City, NY 10956-4305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070406000231 NY Part B Supplier - Clinic/Group Practice 1951405638 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

225 Maple Ave
Monsey, NY 10952
Phone (845) 352-9000

345 N Main St
Ste 11
New City, NY 10956
Phone (845) 639-4949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16998/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174691398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST",
            "address_2": "SUITE 11",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST",
            "address_2": "SUITE 11",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564305",
            "telephone_number": "845-639-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIR MALMAZADA M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALMAZADA",
        "authorized_official_first_name": "MEIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-639-4949",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "205321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.