Individual provider Active NPI

William E Maliha, MD

  • Adult Medicine Physician
  • Saugerties, NY
National Provider Identifier
1366711186
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
158073-1 Issued in NY
Practice address
63 Mary Ann Ave
Saugerties, NY 12477-3659
Phone
(845) 246-0140
NPI assigned
Dec 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 158073-1 NY
Adult Medicine Physician 207QA0505X 158073-1 NY Primary

Addresses

Primary practice location

63 Mary Ann Ave
Saugerties, NY 12477-3659

Mailing address

63 Mary Ann Ave
Saugerties, NY 12477-3659
Phone (845) 246-0140

Other identifiers 1

IdentifierTypeStateIssuer
87E341MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000443 NY Order and Referring Only - Family PracticePractitioner - Emergency MedicinePractitioner - Family Practice 3971807397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158073-1NYMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1366711186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MARY ANN AVE",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773659",
            "telephone_number": "845-246-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MARY ANN AVE",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773659",
            "telephone_number": "845-246-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIHA",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "158073-1",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "158073-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87E341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

Verify at the official NPI Registry.