Active NPI
Marci Malone, M.D.
- Anesthesiology Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 203323
- Practice address
- 5 Johnson Rd
Latham, NY 12110-3096 - Phone
- (518) 782-1181
- Fax
- (518) 782-9171
- NPI assigned
- Dec 6, 2005
- Last updated
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 203323 | NY | Primary |
Addresses
Primary practice location
5 Johnson Rd
Latham, NY 12110-3096
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02090664 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio State University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1396 Myrtle Ave
Brooklyn, NY 11237-4513
Phone (718) 222-5999
237 Jericho Tpke
Syosset, NY 11791-4513
Phone (516) 584-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203323 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsterdam Rec LLC | Current | Accepting new patients | |
| JJM Medical Services, PC | Anesthesiology | Current | Accepting new patients |
| West Side Gi, LLC | Current | Accepting new patients | |
| Centurion Midtown Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Gold Coast Medical P C | Anesthesiology | Current | Accepting new patients |
| Progressive Anesthesia PLLC | Anesthesiology | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Fpa Hospital Based | Past | Accepting new patients | |
| T.Y. Kim, M.D., P.C. | Past | Accepting new patients | |
| Vantage Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
1440 Main St
Waltham, MA 02451
Phone (781) 891-9300
108 Holland Circle Dr
Amsterdam, NY 12010
Phone (518) 842-3800
100 Holland Circle Dr
Amsterdam, NY 12010
Phone (518) 713-4484
3127 41st St
Astoria, NY 11103
Phone (212) 353-9443
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
200 Broadway
Ste 3116
Brooklyn, NY 11211
35 Spencer St
Ste 200
Brooklyn, NY 11205
5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869
8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570
619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
237 Jericho Tpke
Syosset, NY 11791
Phone (516) 584-6400
Interoperability endpoints
- marci.malone.1@21260.direct.athenahealth.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Syosset, NY
- NPI 1962752527
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
dba Mohawk Valley Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Amsterdam, NY
- NPI 1245580711
-
- Anesthesiology Physician
- New York, NY
- NPI 1750087854
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1588938682
-
- Ophthalmology Physician
- Amsterdam, NY
- NPI 1275763468
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
dba Icahn School of Medicine Pharmacy
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
-
- Multi-Specialty Clinic/Center
- Yonkers, NY
- NPI 1215953773
-
- Anesthesiology Physician
- Teaneck, NJ
- NPI 1902032782
-
- Anesthesiology Physician
- Teaneck, NJ
- NPI 1831336148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1487638029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-784-2554",
"fax_number": "207-777-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 JOHNSON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103096",
"telephone_number": "518-782-1181",
"fax_number": "518-782-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "MARCI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "203323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02090664",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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; Order and Referring.
- 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.