Mario John Malvarosa, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

166672 Issued in NY

Practice address

Red Schoolhouse Rd
Fishkill, NY 12524

Phone

(845) 831-6600

Fax

(845) 831-0685

NPI assigned

Feb 8, 2007

Sex

Male

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

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700926466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LOMALA RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335719",
            "telephone_number": "845-897-5173",
            "fax_number": "845-897-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RED SCHOOLHOUSE RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-831-6600",
            "fax_number": "845-831-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVAROSA",
        "first_name": "MARIO",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "166672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M. Mackey, LCSWR,CASAC
• Stacey Alison Madoff, M.D.
• Main Street Fishkill Dental, PLLC
• Imtiaz A Mallick, MD
• Carly D Mallozzi, L.M.T
• Anna Mandia, LCSW
• Kathleen K. Mandy, M.D.
• Jeremy Eric Mangion, MD
• Kathleen Brown Mantaro, MD
• Julia Mantione

• Addiction Medicine (Internal Medicine) Physician in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Addiction Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.