Individual provider Active NPI

Marlene Maleta Pitamber, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Hempstead, NY
National Provider Identifier
1699840843
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
011416 Issued in NY
Practice address
2 Main St
Hempstead, NY 11550-4020
Phone
(516) 489-6600
Fax
(516) 489-6640
NPI assigned
Nov 22, 2006
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011416 NY Primary

Addresses

Primary practice location

2 Main St
Hempstead, NY 11550-4020

Mailing address

627 Pearl St
Oceanside, NY 11572-1828
Phone (516) 489-6600

Other identifiers 1

IdentifierTypeStateIssuer
02872411MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000454 NY Practitioner - Physician Assistant 7618077710 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2024 Accepting new patients
New York University CurrentSince Jan 1, 2024 Accepting new patients
Kingsbrook Medical Associates, PC Past Accepting new patients
Kingsbrook Jewish Medical Center Past Accepting new patients

Locations

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: mpitamber612474@nyumc.direct-ci.com

Organizations & group practices 5

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1699840843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 PEARL ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721828",
            "telephone_number": "516-489-6600",
            "fax_number": "516-489-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504020",
            "telephone_number": "516-489-6600",
            "fax_number": "516-489-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITAMBER",
        "first_name": "MARLENE",
        "middle_name": "MALETA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02872411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.