Individual provider Active NPI

Michael Malecki, RN

  • Registered Nurse
  • Livonia, MI
National Provider Identifier
1346785573
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704191255 Issued in MI
Practice address
37771 7 Mile Rd
Livonia, MI 48152-1058
Phone
(248) 599-2410
NPI assigned
Dec 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704191255 MI Primary

Addresses

Primary practice location

37771 7 Mile Rd
Livonia, MI 48152-1058

Mailing address

37771 7 Mile Rd
Livonia, MI 48152-1058
Phone (248) 599-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704191255MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Malecki Enterprises Current Accepting new patients
Supportive Home Health Care LLC Current Accepting new patients
The M & M Group of Michigan Registered Nurse Current Accepting new patients

Locations

37771 7 Mile Rd
Livonia, MI 48152
Phone (248) 559-2410

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1346785573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37771 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521058",
            "telephone_number": "248-599-2410",
            "fax_number": "248-247-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37771 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521058",
            "telephone_number": "248-599-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALECKI",
        "first_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704191255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.