Individual provider Active NPI

Malkey Wallerstein

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1689204109
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5309 18TH Ave
Brooklyn, NY 11204-1523
Phone
(718) 705-5190
NPI assigned
Jan 23, 2020
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NY Primary

Addresses

Primary practice location

5309 18TH Ave
Brooklyn, NY 11204-1523

Mailing address

5309 18TH Ave
Brooklyn, NY 11204-1523
Phone (718) 705-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003464 NY Practitioner - Clinical Social Worker 3779009675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Jan 30, 2025 Accepting new patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Jan 30, 2025 Accepting new patients
Hasc Diagnostic &Treatment Center, Inc Current Accepting new patients

Locations

1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600

5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1689204109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-705-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-705-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLERSTEIN",
        "first_name": "MALKEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.