Bruce R Malen, M.D., PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BRUCE R MALEN, M.D., PC

Practice address

33 Ronald Reagan Blvd
Warwick, NY 10990-4114

Phone

(845) 986-6601

Fax

(845) 986-6613

NPI assigned

May 10, 2010

Last updated

May 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Richard Malen, M.D.NPI 1255415204

Title

Ceo

Phone

(845) 986-6601

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Richard Malen, MD

  • Ophthalmology Physician
  • Warwick, NY
  • NPI 1255415204
  Authorized official Same address or phone

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1699093088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904114",
            "telephone_number": "845-986-6691",
            "fax_number": "845-986-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904114",
            "telephone_number": "845-986-6601",
            "fax_number": "845-986-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R MALEN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "MALEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-986-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn G Brown, LPN
• Melissa Alexandra Brown, LPN
• Nan Brown, MSW
• Bruce D. Fischer DPM LLC
• Bruce D. Fischer DPM LLC
• Melinda Marks Burgard, M.A., LCAT,CMT
• Rebeca Caban, M.D.
• Kristina Caiazzo-Sikorski
• Tracy Cairns, RN
• Shawn L Cammarota, LMHC

• Ophthalmology Physician in Warwick, NY
• Providers in Warwick, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.