Joseph Malak, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

1593591 Issued in NY

Practice address

207 Washington St
Suite 103
Poughkeepsie, NY 12601-8111

Phone

(845) 249-2510

Fax

(845) 249-2505

NPI assigned

Mar 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• Direct secure messaging: jmalak@bambini.medentdirect.com

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.

• Bambini Pediatrics

  • Pediatrics Physician
  • Hyde Park, NY
  • NPI 1629429550
  NPD (past) Authorized official
• Performant Recovery, Inc.

  • Research Study Abstracter/Coder
  • Livermore, CA
  • NPI 1609392208
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1497723878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126018111",
            "telephone_number": "845-249-2510",
            "fax_number": "845-249-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126018111",
            "telephone_number": "845-249-2510",
            "fax_number": "845-249-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAK",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "1593591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01160503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Ernest Maiorana, D.D.S.
• Stacyann Maise, PSYD
• Majek Wans Logistics
• Essence Majurie, LPN
• Rutendo Denise Makonyonga, M.D
• Vanessa Maldonado
• Sehrish Malik
• Erin E Malleolo
• Tami Mallet - Edwards
• Mariah Mallory

• Pediatric Adolescent Medicine Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.