Individual provider Active NPI

Karen V Malinowski, PT, DPT, MS

  • Physical Therapist
  • West Caldwell, NJ
National Provider Identifier
1609279181
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01400500 Issued in NJ
Practice address
165 Fairfield Ave
West Caldwell, NJ 07006-6414
Phone
(973) 226-1100
Fax
(973) 226-5993
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01400500 NJ Primary
Physical Therapist 225100000X 019755 NY

Addresses

Primary practice location

165 Fairfield Ave
West Caldwell, NJ 07006-6414

Mailing address

165 Fairfield Ave
West Caldwell, NJ 07006-6414
Phone (973) 226-1100

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
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA01400500NJMDPhysical Therapist
019755NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1609279181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066414",
            "telephone_number": "973-226-1100",
            "fax_number": "973-226-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066414",
            "telephone_number": "973-226-1100",
            "fax_number": "973-226-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKI",
        "first_name": "KAREN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01400500",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.