Malynda Boyle, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Southold, NY
NPI 1205349271 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1205349271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F308294 (NY)
- Practice address
- 44360 County Route 48
Southold, NY 11971 - Phone
- (631) 734-8742
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F308294 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Medical Care LLC | Current |
Accepting new patients | |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Past |
Accepting new patients |
Locations
200 Pantigo Pl
East Hampton, NY 11937
Phone (631) 267-6969
Interoperability endpoints
- malynda.boyle@sbcm.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F308294 | NY | Yes |
Addresses
Primary practice location
44360 County Route 48
Southold, NY 11971
Mailing address
PO Box 478
Southold, NY 11971-0478
Phone (631) 734-8742
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malynda.boyle@sbcm.cernerdirect.com |
Other providers in Southold, NY
- Erin Bednoski
- Joan Marcy Benken
- Christina Berry
- Christine Coloson Bohach
- Laura Marie Bolliver
- Michael Lawrence Brody
- Tania Broglia
- Hildy Brown
- Samuel Pearce Brown
- Tyler James Buckley
All providers in Southold, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.