Jacob Malouf

Primary specialty

Orthopedic Registered NurseTaxonomy code 163WX0800X

License

24505 Issued in AK

Practice address

3111 Denali St Ste 102
Anchorage, AK 99503-4099

Phone

(907) 360-4275

NPI assigned

Jul 1, 2024

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 names 1

• Jake Malouf Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1295571198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 BIRCH RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995076628",
            "telephone_number": "907-360-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 DENALI ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034099",
            "telephone_number": "907-360-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOUF",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AK",
            "license": "24505",
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "AK",
            "license": "24505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "MALOUF",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Patrick Malone, MSPT, ATC
• Rani Malone
• April Maloney
• Samantha Maloney, RD
• Stephen Michael Maloney, D.M.D.
• Matthew Malouf, P.A.C.
• Monika Maltese, PHARM.D.
• Fia Malua
• Malupo's Haven Assisted Living Home LLC
• Nicole Maluto

• Registered Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.