Active NPI
John Henry Malin II, DO
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1396422515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OT022722
- Practice address
- Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141 - Phone
- (215) 456-6500
- NPI assigned
- Jun 29, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT022722 | PA | Primary |
Addresses
Primary practice location
Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141
Mailing address
Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141
Phone (215) 456-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260618001823 | PA | Practitioner - Internal Medicine | 9335611599 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1330 Powell St
Suite 308
Norristown, PA 19401-3363
PO Box
Philadelphia, PA 19178
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT022722 | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1396422515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALBERT EINSTEIN MEDICAL CENTER",
"address_2": "5501 OLD YORK ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "215-456-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALBERT EINSTEIN MEDICAL CENTER",
"address_2": "5501 OLD YORK ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "215-456-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIN",
"first_name": "JOHN",
"middle_name": "HENRY",
"name_suffix": "II",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT022722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.