Biplab Kumar Malo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855026 Issued in MA

Practice address

80 Foster St
Unit-104
Peabody, MA 01960-5953

Phone

(978) 944-4197

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foster Street Dental, LLC

  • Dentist
  • Peabody, MA
  • NPI 1255639035
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303603200000",
    "number": "1588710503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FOSTER ST",
            "address_2": "UNIT-104",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605953",
            "telephone_number": "978-944-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOSTER ST",
            "address_2": "UNIT-104",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605953",
            "telephone_number": "978-944-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALO",
        "first_name": "BIPLAB",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Pharmacy, LLC (CVS Pharmacy #48266)
• Laddy Maria Maisonet, M.D.
• Nathalie Majorek, M.D.
• Bilkish Z Malek
• Meghan A Malloy, P.T.
• John Malolepszy, M.D.
• Elizabeth Ashley Maloney, CPNP
• Malana Jean Malonson
• Emilie Catherine Maloy, PHARMD
• Malu Consulting LLC

• Dentist in Peabody, MA
• Providers in Peabody, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.