Vincent J Malba, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00576600 Issued in NJ

Practice address

248 Edison St
Clifton, NJ 07013-1358

Phone

(973) 777-0058

Fax

(973) 405-6529

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abundant Life Chiropractic Center, LLC

  • Chiropractor
  • Clifton, NJ
  • NPI 1417238742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1467515908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 EDISON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131358",
            "telephone_number": "973-777-0058",
            "fax_number": "973-405-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 EDISON ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131358",
            "telephone_number": "973-777-0058",
            "fax_number": "973-405-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBA",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00576600",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009990-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodora J Maio, M.D.
• Laura Majewski, LSW
• Palak Majmudar, M.D.
• Gamil Lamey Makar, M.D
• Melba Malaran-Basta
• Tayyab Malik, MD
• Beau Malimas
• Myleen Mamaril
• Andrew Manansala
• Maneyapanda LLC

• All providers in Clifton, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.