Individual provider Active NPI

Maleka Sanderson, NURSE PRACTITIONER

  • Registered Nurse
  • Garden City, NY
National Provider Identifier
1578001905
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
572006 Issued in NY
Practice address
501 Franklin Ave
Garden City, NY 11530-5807
Phone
(516) 267-5512
NPI assigned
Feb 6, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 572006 NY Primary

Addresses

Primary practice location

501 Franklin Ave
Garden City, NY 11530-5807

Mailing address

7272 112TH St
Apt.#5E
Forest Hills, NY 11375-5561
Phone (347) 406-0925

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430003831 NY Practitioner - Nurse Practitioner 3173862190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Py Medical PLLCGroup PAC ID 2961840319, 9 clinicians

Practice addresses (Care Compare)

653 Bay Rd
Queensbury, NY 12804-1446
Phone (518) 761-0176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical PLLC CurrentSince Feb 1, 2025 Accepting new patients
Minzer Medical PC CurrentSince Mar 10, 2024 Accepting new patients

Locations

135 Linden Blvd
Brooklyn, NY 11226
Phone (718) 576-7000

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

48 Frost Ln
#1
Lawrence, NY 11559

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1578001905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 112TH ST",
            "address_2": "APT.#5E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755561",
            "telephone_number": "347-406-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305807",
            "telephone_number": "516-267-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "MALEKA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "572006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.