Individual provider Active NPI

Carolyn Marie Malone, MD

  • Diagnostic Radiology Physician
  • Elmsford, NY
National Provider Identifier
1295900843
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
268100 Issued in NY
Practice address
555 Taxter Rd
Elmsford, NY 10523-2336
Phone
(000) 000-0000
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA09432100 NJ
Diagnostic Radiology Physician 2085R0202X 268100 NY Primary

Addresses

Primary practice location

555 Taxter Rd
Elmsford, NY 10523-2336

Mailing address

12 Duck Pond LN
Ramsey, NJ 07446-1643

Other names 1

  • Carolyn Marie Wassong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140725000266 NJ Practitioner - Diagnostic Radiology 7810113974 Reassigns benefits to 3 organizations
I20250929003513 NY Practitioner - Diagnostic Radiology 7810113974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

3400 Bainbridge Ave
Bronx, NY 10467-2404
Phone (914) 378-6148

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09432100NJMDDiagnostic Radiology Physician
268100NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 10, 2025 Accepting new patients
Hackensack Radiology Group PA Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
New Century Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Imaging North LLC Diagnostic Radiology CurrentSince May 2, 2022 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Jul 10, 2025 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

5 Marine View Plz
Ste 100
Hoboken, NJ 07030

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

130 Kinderkamack Rd
Ste 200
River Edge, NJ 07661

111 E 210th St
Bronx, NY 10467

555 Taxter Rd
Elmsford, NY 10523
Phone (718) 920-2587

100 Corporate Dr
Yonkers, NY 10701
Phone (914) 378-6148

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: carmalone@montefioredirect.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1295900843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DUCK POND LN",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TAXTER RD",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232336",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09432100",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "268100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "WASSONG",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmsford, NY

Sources for this page

Verify at the official NPI Registry.