Sidney P Maletzky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB01897600 Issued in NJ

Practice address

11 Lakeview PL
Cherry Hill, NJ 08003-1116

Phone

(856) 751-6625

NPI assigned

Mar 10, 2009

Last updated

Mar 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1215178983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAKEVIEW PL",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031116",
            "telephone_number": "856-751-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAKEVIEW PL",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031116",
            "telephone_number": "856-751-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALETZKY",
        "first_name": "SIDNEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB01897600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maison Care LLC (BrightStar Care of Camden and Cherry Hill)
• Jessica Maisuria, LPC
• Mary Makar, M.D.
• Margaret Carolyn Malecka, RNFA
• Inez Malenbaum, LPC
• Kiran Sumerna Malik, D.D.S
• Dipakkumar Purushottam Malli, MD
• Susannah Mallon
• Julia Malpass, MS, OTR/L
• Raymond J Malta, DO

• Family Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.