Individual provider Active NPI

Richard L Malen, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1295830784
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
114666 Issued in NY
Practice address
115 E 86TH St
Lobby Suite #4
New York, NY 10028-1057
Phone
(212) 722-5080
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 114666 NY Primary

Addresses

Primary practice location

115 E 86TH St
Lobby Suite #4
New York, NY 10028-1057

Mailing address

115 E 86TH St
Lobby Suite #4
New York, NY 10028-1057
Phone (212) 722-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 10, 2016 through May 10, 2028

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1295830784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 86TH ST",
            "address_2": "LOBBY SUITE #4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281057",
            "telephone_number": "212-722-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 86TH ST",
            "address_2": "LOBBY SUITE #4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281057",
            "telephone_number": "212-722-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "114666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.