Individual provider Active NPI

Yonit Malina

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1518236140
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR061746-1 Issued in NY
Practice address
3001 Netherland Ave
Bronx, NY 10463-3406
Phone
(917) 620-9397
NPI assigned
Dec 28, 2011
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR061746-1 NY Primary

Addresses

Primary practice location

3001 Netherland Ave
Bronx, NY 10463-3406

Mailing address

2600 Netherland Ave
Bronx, NY 10463-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015000384 NJ Practitioner - Clinical Social Worker 6305377094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MGM Ketamine Services LLCGroup PAC ID 5395128482, 12 clinicians

Practice addresses (Care Compare)

690 Kinderkamack Rd
Suite 103
Oradell, NJ 07649-1524
Phone (201) 483-3760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR061746-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MGM Ketamine Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Malina Medical Services PC PastSince May 14, 2023 Accepting new patients

Locations

690 Kinderkamack Rd
Ste 103
Oradell, NJ 07649
Phone (201) 483-3760

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1518236140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NETHERLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633406",
            "telephone_number": "917-620-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINA",
        "first_name": "YONIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR061746-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.