Tina Marie Malec, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN557607 Issued in PA

Practice address

705 Clydesdale Dr
York, PA 17402-7591

Phone

(717) 817-9087

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1497445217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CLYDESDALE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174027591",
            "telephone_number": "717-817-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CLYDESDALE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174027591",
            "telephone_number": "717-817-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEC",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN557607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pradipta Majumder, M.D.
• Gretchen Eh Makai, MD
• Busayo Malafa, MD
• Michael Malave, OD
• Malcolm H. Dietrich D.O. LTD
• Tani Malhotra, M.D
• Usha Malhotra, MD
• Adnan Saeed Malik, M.D.
• John William Malone III
• Mama & Roos Supplement Co

• Registered Nurse in York, PA
• Providers in York, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.