Individual provider Active NPI

Kaitlin Michelle Malone, CNM, RN

  • Advanced Practice Midwife
  • New York, NY
National Provider Identifier
1356004527
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00086201 Issued in NJ
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

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240321001561 NY Practitioner - Certified Nurse Midwife (CNM) 5395130314 Reassigns benefits to 2 organizations
I20240408000128 NJ Practitioner - Certified Nurse Midwife (CNM) 5395130314 Reassigns benefits to 1 organization

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
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

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

LicenseStateTypeSpecialty
002100NYMDAthletic Trainer
25ME00086201NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Jan 28, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 22, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jan 28, 2024 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 22, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.