Deepa Malieckal MD PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DEEPA MALIECKAL MD PC

Practice address

242 Dekalb Ave FL 2
Brooklyn, NY 11205-4118

Phone

(718) 789-7100

Fax

(718) 789-7101

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Deepa Malieckal, MD

Title

Medical Doctor/Owner

Phone

(718) 789-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1235655481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 DEKALB AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054118",
            "telephone_number": "718-789-7100",
            "fax_number": "718-789-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 DEKALB AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054118",
            "telephone_number": "718-789-7100",
            "fax_number": "718-789-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPA MALIECKAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "MALIECKAL",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "718-789-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reem Deeb
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• Maureen Deen-Baksh, LCSW
• Aman Deep, M.D.
• Deepak Vadhan,MD FCCP,PC
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• Multi-Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.