Individual provider Active NPI

Natalia Malieva, ANP

  • Family Nurse Practitioner
  • East Brunswick, NJ
National Provider Identifier
1245701382
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00880100 Issued in NJ
Practice address
16 Violet CT
East Brunswick, NJ 08816-3745
Phone
(732) 718-8500
Fax
(732) 698-7640
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00880100 NJ Primary

Addresses

Primary practice location

16 Violet CT
East Brunswick, NJ 08816-3745

Mailing address

16 Violet CT
East Brunswick, NJ 08816-3745
Phone (732) 718-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412000153 NJ Practitioner - Nurse Practitioner 3274874664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

225 Gordons Corner Rd
Suite 2H
Manalapan, NJ 07726-3342
Phone (732) 360-7005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00880100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Prime Care LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

225 Gordons Corner Rd
Ste 2H
Manalapan, NJ 07726
Phone (732) 360-7005

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1245701382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VIOLET CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163745",
            "telephone_number": "732-718-8500",
            "fax_number": "732-698-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 VIOLET CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163745",
            "telephone_number": "732-718-8500",
            "fax_number": "732-698-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIEVA",
        "first_name": "NATALIA",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00880100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.