Individual provider Active NPI

Lloyd Andrew Malsin

  • Optician
  • New York, NY
National Provider Identifier
1366634131
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0044421 Issued in NY
Practice address
1016 First Avenue
Clairmont-Nichols Opticians
New York, NY 10022-4107
Phone
(212) 758-2346
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 0044421 NY Primary

Addresses

Primary practice location

1016 First Avenue
Clairmont-Nichols Opticians
New York, NY 10022-4107

Mailing address

1016 First Avenue
Clairmont-Nichols Opticians
New York, NY 10022-4107
Phone (212) 758-2346

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

State licenses

LicenseStateTypeSpecialty
0044421NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Clairmont-Nichols of First Avenue Inc. Past Accepting new patients

Organizations & group practices 1

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1366634131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 FIRST AVENUE",
            "address_2": "CLAIRMONT-NICHOLS OPTICIANS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224107",
            "telephone_number": "212-758-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 FIRST AVENUE",
            "address_2": "CLAIRMONT-NICHOLS OPTICIANS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224107",
            "telephone_number": "212-758-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSIN",
        "first_name": "LLOYD",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "0044421",
            "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 Aug 15, 2007; 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.