Active NPI
Kaitlin Michelle Malone, CNM, RN
- Advanced Practice Midwife
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00086201
- Practice address
- 3959 Broadway
New York, NY 10032-1559 - Phone
- (212) 342-1760
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 002100 | NY | |
| Advanced Practice Midwife | 367A00000X | 25ME00086201 | NJ | Primary |
Addresses
Primary practice location
3959 Broadway
New York, NY 10032-1559
Mailing address
158 W 84TH St Apt 3B
New York, NY 10024-4665
Phone (215) 595-4729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- New York University Medical College - NLG, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 Newark Ave
Jersey City, NJ 07302-2960
317 Central Ave
Jersey City, NJ 07307-2915
Phone (201) 984-1270
94 Old Short Hills Rd
Livingston, NJ 07039-5672
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002100 | NY | MD | Athletic Trainer |
| 25ME00086201 | NJ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
59 Newark St
Hoboken, NJ 07030
Phone (201) 656-4800
116 Newark Ave
Ste 2
Jersey City, NJ 07302
Phone (201) 984-1270
317 Central Ave
Jersey City, NJ 07307
Phone (201) 839-2640
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
1920 Webster Ave
Bronx, NY 10457
Phone (646) 815-9700
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
227 Madison St
New York, NY 10002
Phone (212) 238-7000
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
50 Water St
Fl 3
New York, NY 10004
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- kmalone1842897@nychhc.direct-ci.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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1356004527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 W 84TH ST APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244665",
"telephone_number": "215-595-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-342-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "KAITLIN",
"middle_name": "MICHELLE",
"credential": "CNM, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "002100",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00086201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.