Jessica Malcom, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

298583 Issued in NY

Practice address

2250 Wehrle Dr
Suite 1
Williamsville, NY 14221-7034

Phone

(716) 276-2123

Fax

(716) 276-2129

NPI assigned

Oct 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1447585138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "address_2": "UPPER",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141502132",
            "telephone_number": "712-269-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 WEHRLE DR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217034",
            "telephone_number": "716-276-2123",
            "fax_number": "716-276-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "JESSICA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "298583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Majewski, LMSW
• Nita J Makhija-Graham, PHD
• Jasbeer S Makhija, MD
• Gerard Anthony Makin, DPM
• Elizabeth Mary Makula, RN
• Sarah Malik, MS OTR/L
• Thomas Malikowski, M.D.
• Barry T Malin, M.D.
• Erika M Malinowski, R.N., PMHNP-BC
• Cynthia Malkiewicz, LPN

• Licensed Practical Nurse in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.