Individual provider Active NPI

Malvina Sher, BS PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1629102074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023760 Issued in NY
Practice address
525 East 68 Street
142A
New York, NY 10021
Phone
(212) 746-1483
Fax
(212) 746-1611
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023760 NY Primary

Addresses

Primary practice location

525 East 68 Street
142A
New York, NY 10021

Mailing address

379 Kings Highway
#3A
Brooklyn, NY 11223
Phone (646) 696-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000087 NY Practitioner - Physical Therapist in Private Practice 4284819889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mag Medical, PCGroup PAC ID 0941191456, 4 clinicians

Practice addresses (Care Compare)

2379 65TH St
Brooklyn, NY 11204-4045
Phone (718) 375-0392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
023760NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mag Medical, PC CurrentSince Feb 15, 2011 Accepting new patients
Alexander Merson, M.D., PLLC Past Accepting new patients

Locations

2379 65th St
Brooklyn, NY 11204
Phone (718) 375-0392

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629102074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 KINGS HIGHWAY",
            "address_2": "#3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "646-696-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST 68 STREET",
            "address_2": "142A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-746-1483",
            "fax_number": "212-746-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHER",
        "first_name": "MALVINA",
        "credential": "BS PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.