Lynn Malanka, RN, RNFA, APN.C

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

26NO11473000 Issued in NJ

Practice address

695 US Highway 46
Ste 400a
Fairfield, NJ 07004-1568

Phone

(973) 826-8291

Fax

(888) 972-6480

NPI assigned

Oct 28, 2011

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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.

• Gastroenterology Associates of New Jersey, LLC

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  • NPI 1497932271
  NPD

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1306122874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 6TH ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943012",
            "telephone_number": "201-600-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46",
            "address_2": "STE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041568",
            "telephone_number": "973-826-8291",
            "fax_number": "888-972-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANKA",
        "first_name": "LYNN",
        "credential": "RN, RNFA, APN.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "A0805236",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO11473000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genna Luzzi, CCC-SLP
• Denise Lynam
• Macaluso Compassionate Care Foundation
• Mager & Gougelman Inc
• Main Psychiatry Group LLC
• Annelise Malgieri, OTR/L
• Fawad Malik, PHARMD
• Miguel Maranan
• Tara Marchesani
• Carlos M Marin, RPH

• Registered Nurse First Assistant in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.