Active NPI
Sara Malakov Medical PC
- Pediatrics Physician
- Fresh Meadows, NY
National Provider Identifier
1548083272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SARA MALAKOV MEDICAL PC
- Practice address
- 7119 162ND St # CF-C
Fresh Meadows, NY 11365-4444 - Phone
- (718) 475-0500
- Fax
- (718) 215-1935
- NPI assigned
- Nov 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Malakov, MD
- Title
- Owner
- Phone
- (718) 475-0500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
7119 162ND St # CF-C
Fresh Meadows, NY 11365-4444
Mailing address
7119 162ND St # CF-C
Fresh Meadows, NY 11365-4444
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1679035331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1548083272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7119 162ND ST # CF-C",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7119 162ND ST # CF-C",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654444",
"telephone_number": "718-475-0500",
"fax_number": "718-215-1935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA MALAKOV MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "MALAKOV",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-475-0500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.