Amanda Nicole Malinou, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0085001 Issued in MD

Practice address

4C North Ave Ste 400
Bel Air, MD 21014

Phone

(410) 638-0239

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Amanda Nicole Black Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• L & W Pediatrics PA

  • Pediatrics Physician
  • Bradenton, FL
  • NPI 1588726368
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1437538808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 400",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142333",
            "telephone_number": "410-638-0239",
            "fax_number": "410-638-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 400",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-638-0239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Lasalle Rd",
            "address_2": "Potomac Bldg Suite 105",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "21286",
            "country_code": "US",
            "telephone_number": "410-823-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4C North Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "21014",
            "country_code": "US",
            "telephone_number": "410-638-0239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALINOU",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0085001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BLACK",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen Maisel
• Rekha Tejash Maisuria
• Mary Antoinette Malanowski, LCSW C
• Sarah Elizabeth Malatesta
• Kathryn Jean Malenfant, DNP
• Malyka Inc.
• Lillian Man, MD
• Rebecca Manar, LCSW-C
• Jennifer L Mandel, CPNP
• Ayo N Mandi, CRNP

• Pediatrics Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.