Active NPI
Jerome Malina, B.S., D.C.
- Chiropractor
- Gretna, LA
National Provider Identifier
1568618387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 863
- Practice address
- 508 Westbank Expy
Gretna, LA 70053-5621 - Phone
- (504) 366-4444
- Fax
- (504) 362-3472
- NPI assigned
- Aug 12, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 863 | LA | Primary |
Addresses
Primary practice location
508 Westbank Expy
Gretna, LA 70053-5621
Mailing address
508 Westbank Expy
Gretna, LA 70053-5621
Phone (504) 366-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 863 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1568618387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 WESTBANK EXPY",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535621",
"telephone_number": "504-366-4444",
"fax_number": "504-362-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 WESTBANK EXPY",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535621",
"telephone_number": "504-366-4444",
"fax_number": "504-362-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALINA",
"first_name": "JEROME",
"credential": "B.S., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.