Individual provider Active NPI

Malba Nanyame

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1417426636
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342961 Issued in NY
Practice address
600 Baychester Ave Apt 5B
Bronx, NY 10475-4457
Phone
(646) 875-9290
NPI assigned
Nov 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342961 NY Primary

Addresses

Primary practice location

600 Baychester Ave Apt 5B
Bronx, NY 10475-4457

Mailing address

600 Baychester Ave Apt 5B
Bronx, NY 10475-4457
Phone (646) 875-9290

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001026 NY Practitioner - Nurse Practitioner 9133469133 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essen Medical Urgicare, PLLCGroup PAC ID 4385960897, 60 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians
Morris Heights Health Center, Inc.Group PAC ID 3072798172, 49 clinicians

Practice addresses (Care Compare)

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452-1503
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 483-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
F342961NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Jun 6, 2024 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Mar 18, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jun 6, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 6, 2024 Accepting new patients
Brooklyn Urgent Care PLLC CurrentSince Sep 27, 2022 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 6, 2024 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Mar 18, 2019 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 6, 2024 Accepting new patients

Locations

100 Challenger Rd
Ste 303
Ridgefield Pk, NJ 07660

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

320 E 204th St
Bronx, NY 10467
Phone (718) 223-5356

616 Castle Hill Ave
Ste A
Bronx, NY 10473

25 E 183rd St
Bronx, NY 10453
Phone (718) 483-1270

875 Utica Ave
Brooklyn, NY 11203
Phone (718) 964-6066

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: malba.nanyame.p1@direct.mhhc.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1417426636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BAYCHESTER AVE APT 5B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754457",
            "telephone_number": "646-875-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BAYCHESTER AVE APT 5B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754457",
            "telephone_number": "646-875-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANYAME",
        "first_name": "MALBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.