Individual provider Active NPI

Andrew Carter Maleson, M.D.

  • Vascular & Interventional Radiology Physician
  • Stony Brook, NY
National Provider Identifier
1437355047
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
268996 Issued in NY
Practice address
2350 Nesconset Hwy Ste B
Stony Brook, NY 11790-3512
Phone
(631) 364-0553
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD444987 PA
Diagnostic Radiology Physician 2085R0202X 268996 NY
Vascular & Interventional Radiology Physician 2085R0204X 268996 NY Primary

Addresses

Primary practice location

2350 Nesconset Hwy Ste B
Stony Brook, NY 11790-3512

Mailing address

PO Box 1559
Stony Brook, NY 11794-8460
Phone (631) 444-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140707001293 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8820238116 Reassigns benefits to 3 organizations
I20240115001238 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8820238116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-3407
Phone (631) 638-2121

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Healthcare Medical Services LLC CurrentSince Jul 7, 2026 Accepting new patients
New York University CurrentSince Jul 1, 2023 Accepting new patients
Stony Brook Radiology, University Faculty Practice Corporation Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
New York University CurrentSince Jul 1, 2023 Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Oct 15, 2019 Accepting new patients
Foxhurst Medical of New York LLC Past Accepting new patients

Locations

4025 Hempstead Tpke
Ste B
Bethpage, NY 11714
Phone (929) 207-9470

4025 Hempstead Tpke
Ste A
Bethpage, NY 11714
Phone (646) 798-8502

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845

2157 White Plains Rd
Ste B
Bronx, NY 10462

441 Knickerbocker Ave
Ste B
Brooklyn, NY 11237
Phone (347) 773-2684

11602 Queens Blvd
Ste A
Forest Hills, NY 11375

11602 Queens Blvd
Forest Hills, NY 11375
Phone (646) 292-3240

11602 Queens Blvd
Ste C
Forest Hills, NY 11375
Phone (347) 535-5608

16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699

16203 Jamaica Ave
Unit 200A
Jamaica, NY 11432
Phone (347) 390-1075

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

100 Nicolls Rd
Rm 120
Stony Brook, NY 11794
Phone (631) 444-2480

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Interoperability endpoints

  • Direct secure messaging: amaleson387872@northwell.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1437355047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948460",
            "telephone_number": "631-444-5400",
            "fax_number": "631-444-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 NESCONSET HWY STE B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903512",
            "telephone_number": "631-364-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALESON",
        "first_name": "ANDREW",
        "middle_name": "CARTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD444987",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "268996",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "268996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.