Mary Malicki, ACNP

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

960035 Issued in NC

Practice address

30 Medicine Cir
Box 3872
Durham, NC 27710-0001

Phone

(919) 620-4467

NPI assigned

Oct 25, 2006

Last updated

Aug 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mmalicki54479@direct.medicine.duke.edu

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1518041490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ERWIN RD",
            "address_2": "DUKE UNIVERSITY MEDICAL CENTER - DUMC 3872",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-8964",
            "fax_number": "919-684-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICINE CIR",
            "address_2": "BOX 3872",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-620-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALICKI",
        "first_name": "MARY",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "960035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria X Maldonado Grijalva, MD
• Ramiro Sergio Maldonado, M.D.
• Danielle Malerba
• Jimmy Mali, M.D.
• Darcy Laine Malican, MPH, PA-C
• Malik Salaam Muhammad
• Saira Malik, PA-C
• Sarah Noor Malik, MD
• Ian Jacob Malinow
• Elizabeth Burney Malinzak, M.D.

• Hematology & Oncology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.