Nicole Malfitano

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

017123 Issued in NY

Practice address

101 Autumn Hall Dr Ste 230
Wilmington, NC 28403-2055

Phone

(910) 945-0123

NPI assigned

Jan 13, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Mack Dermatology, P.C.

  • Specialist
  • New York, NY
  • NPI 1720485808
  NPD (past)

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1689096547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUTUMN HALL DR STE 230",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032055",
            "telephone_number": "910-945-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUTUMN HALL DR STE 230",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032055",
            "telephone_number": "910-945-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALFITANO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Making Waves Mental Health, PLLC
• Phyllis Ann Malanka, PA-C
• Anthony Joseph Malara, PT, DPT
• Joseph Malczyn
• Rosa Maldonado Sanchez
• Keisha Michelle Malloy, MS, CRC, CVE
• Samantha Jean Malone, MD
• Stephanie E. D. Malone, FNP-BC
• Thomas Howard Maloy, MD
• Brennen Malpass, MA

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.