Active NPI
Alan J Malitz, MD
- Urology Physician
- Milford, CT
National Provider Identifier
1386643179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 19601
- Practice address
- 284 Broad St
Milford, CT 06460-3226 - Phone
- (203) 878-2223
- Fax
- (203) 876-1915
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 19601 | CT | Primary |
Addresses
Primary practice location
284 Broad St
Milford, CT 06460-3226
Mailing address
284 Broad St
Milford, CT 06460-3226
Phone (203) 878-2223
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19601 | CT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan J Malitz MD PC | Urology | 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.
-
- Urology Physician
- Milford, CT
- NPI 1912179011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1386643179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 BROAD ST",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603226",
"telephone_number": "203-878-2223",
"fax_number": "203-876-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 BROAD ST",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603226",
"telephone_number": "203-878-2223",
"fax_number": "203-876-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALITZ",
"first_name": "ALAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "19601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.