Bruce Richard Malen, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20386 Issued in NY

Practice address

33 Ronald Reagan Blvd
Warwick, NY 10990-0833

Phone

(845) 986-6601

Fax

(845) 986-6613

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1255415204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RONALD REAGAN BLVD",
            "address_2": "PO BOX 833",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109900833",
            "telephone_number": "845-986-6601",
            "fax_number": "845-986-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109900833",
            "telephone_number": "845-986-6601",
            "fax_number": "845-986-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEN",
        "first_name": "BRUCE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "20386",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03318400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305202",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Marie Lynch, RDN
• Ellen Blair Macdonald, L.C.S.W.
• Grace Cathryn Magee, LMSW
• Dorothea Maguire, REGISTERED NURSE
• Julia Maione-Kelly
• Mandes R. Kates, MD, PLLC
• Renee Lynne Mangold, LCSW
• Vanessa Marcell, MS, CGC
• Joseph Maresca
• Lauren Mariotti, LCSW

• Ophthalmology Physician in Warwick, NY
• Providers in Warwick, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.