Active NPI
Natalya Malakova, O.D.
- Optometrist
- Forest Hills, NY
National Provider Identifier
1497795983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT006389
- Practice address
- 6405 Yellowstone Blvd
Suite CF-103
Forest Hills, NY 11375-1530 - Phone
- (718) 830-0201
- Fax
- (718) 830-0206
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT006389 | NY | Primary |
Addresses
Primary practice location
6405 Yellowstone Blvd
Suite CF-103
Forest Hills, NY 11375-1530
Mailing address
6405 Yellowstone Blvd
Suite CF-103
Forest Hills, NY 11375-1530
Phone (917) 680-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02162229 | 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
64 -05 Yellowstone Blvd
CF 103
Forest Hills, NY 11375-1530
6405 Yellowstone Blvd
Forest Hills, NY 11375-1530
Phone (718) 830-0201
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT006389 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Vision, Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Forest Hills, NY
- NPI 1336206127
-
- Optometrist
- Brooklyn, NY
- NPI 1366760019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1497795983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 YELLOWSTONE BLVD",
"address_2": "SUITE CF-103",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751530",
"telephone_number": "917-680-0404",
"fax_number": "718-830-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 YELLOWSTONE BLVD",
"address_2": "SUITE CF-103",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751530",
"telephone_number": "718-830-0201",
"fax_number": "718-830-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAKOVA",
"first_name": "NATALYA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT006389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02162229",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.