Active NPI
Stanford Howard Malinow, M.D.
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1215906482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0004701
- Practice address
- 2700 Quarry Lake Dr
Ste 290
Baltimore, MD 21209-3742 - Phone
- (410) 484-8398
- Fax
- (410) 484-3695
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0004701 | MD | Primary |
Addresses
Primary practice location
2700 Quarry Lake Dr
Ste 290
Baltimore, MD 21209-3742
Mailing address
2700 Quarry Lake Dr
Ste 290
Baltimore, MD 21209-3742
Phone (410) 484-8398
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028901900 | Medicaid | MD | |
| 522221754 | Other | MD | TAX I.D. |
| 41737104 | Other | MD | BSMD |
| M32936 | Other | MD | CDS |
| D0004701 | Other | MD | LICENSE |
| E591 | Other | MD | BFED |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215906482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR",
"address_2": "STE 290",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093742",
"telephone_number": "410-484-8398",
"fax_number": "410-484-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 QUARRY LAKE DR",
"address_2": "STE 290",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093742",
"telephone_number": "410-484-8398",
"fax_number": "410-484-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALINOW",
"first_name": "STANFORD",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0004701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028901900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "522221754",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSMD",
"identifier": "41737104",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "M32936",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D0004701",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BFED",
"identifier": "E591",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.