Neziah Maloney

Primary specialty

OpticianTaxonomy code 156FX1800X

License

010293 Issued in NY

Practice address

43 President St
Huntington Station, NY 11746-2345

Phone

(347) 867-3124

NPI assigned

Jul 28, 2020

Reactivated

Sep 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spectickled Eyewear LTD.

  • Eyewear Supplier
  • Huntington Station, NY
  • NPI 1275147878
  NPD Authorized official

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1417566258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PRESIDENT ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462345",
            "telephone_number": "347-867-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PRESIDENT ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462345",
            "telephone_number": "347-867-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "NEZIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "deactivation_date": "2020-08-19",
        "reactivation_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "010293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Neziahmaloney@spectickledeyewear.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43 President St",
            "city": "Huntington Station",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117462345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Rose Macleod
• Kaitlyn Maier, DPT
• Allison Main
• Shaniece Malloy
• Cristina Maloney
• Carol Mangino, C.O.
• Michael Mangino, C.P.O., C.PED.
• Gabriella Maria Manwell
• Keiry Giselle Manzanares
• Marc Adelberg DDS, PLLC

• Optician in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.