Individual provider Active NPI

Neha Maniar Malhotra, M.D.

  • Pediatric Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1689961260
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
261945 Issued in NY
Practice address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone
(718) 283-7329
NPI assigned
Jul 5, 2011
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 261945 NY
Pediatric Gastroenterology Physician 2080P0206X 261945 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Brooklyn, NY 11219-2916

Mailing address

84 Engert Ave Apt 4B
Brooklyn, NY 11222-4866

Other practice location 1

948 48th St Fl 2
Brooklyn, NY 11219-2918
Phone (718) 283-7966

Other practice location 2

6701 Bay Pkwy
Brooklyn, NY 11204-4749
Phone (718) 283-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211000392 NY Practitioner - Pediatric MedicinePractitioner - Gastroenterology 1456655497 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Nov 10, 2015 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MMC Pediatrics Faculty Practice Pediatrics CurrentSince Nov 10, 2015 Accepting new patients
MMC Pediatric Neurology FPP Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Fl 9
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Ste 9
Brooklyn, NY 11204
Phone (718) 283-7500

6701 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 283-7500

948 48th St
Fl 2
Brooklyn, NY 11219
Phone (718) 283-7219

977 48th St
Brooklyn, NY 11219
Phone (718) 283-8894

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: neha.malhotra.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: nehamalhotra@mai.allscriptsdirect.net

Organizations & group practices 4

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1689961260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ENGERT AVE APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-7329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "948 48th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112192918",
            "country_code": "US",
            "telephone_number": "718-283-7966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Bay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112044749",
            "country_code": "US",
            "telephone_number": "718-283-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "NEHA",
        "middle_name": "MANIAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "261945",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "261945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.