Individual provider Active NPI

Denise A. Maletta, L.AC./LMT

  • Acupuncturist
  • Huntington, NY
National Provider Identifier
1578733820
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001812-1 Issued in NY
Practice address
114 Wall Street
Suite 300
Huntington, NY 11743-0000
Phone
(631) 673-5433
Fax
(631) 673-5435
NPI assigned
Mar 3, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001812-1 NY Primary

Addresses

Primary practice location

114 Wall Street
Suite 300
Huntington, NY 11743-0000

Mailing address

PO Box 44
Northport, NY 11768-0044
Phone (631) 757-6555

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

State licenses

LicenseStateTypeSpecialty
001812-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578733820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117680044",
            "telephone_number": "631-757-6555",
            "fax_number": "631-757-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WALL STREET",
            "address_2": "SUITE 300",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117430000",
            "telephone_number": "631-673-5433",
            "fax_number": "631-673-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALETTA",
        "first_name": "DENISE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "L.AC./LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001812-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.