Individual provider Active NPI

Haviva Y. Malina, M.D.

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1710129002
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
251890 Issued in NY
Practice address
1825 Eastchester Rd
Emergency Department
Bronx, NY 10461-2301
Phone
(718) 904-3333
Fax
(718) 904-2517
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 251890 NY Primary

Addresses

Primary practice location

1825 Eastchester Rd
Emergency Department
Bronx, NY 10461-2301

Mailing address

111 E 210TH St
Montefiore Medical Center - Emergency Department
Bronx, NY 10467-2401
Phone (718) 904-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090716000563 NY Practitioner - Emergency MedicinePractitioner - Addiction Medicine 8123170479 Reassigns benefits to 1 organization
I20130906000026 NJ Practitioner - Emergency Medicine 8123170479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Addiction Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Malina Medical Services PCGroup PAC ID 3779943600, 33 clinicians
MGM Ketamine Services LLCGroup PAC ID 5395128482, 12 clinicians

Practice addresses (Care Compare)

6 E 39TH St
Suite 600
New York, NY 10016-0123
Phone (201) 483-3760

690 Kinderkamack Rd
Suite 103
Oradell, NJ 07649-1524
Phone (201) 483-3760

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Malina Medical Services PC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Ihpnj ER LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Humc Opco LLC Current Accepting new patients
MGM Ketamine Services LLC Emergency Medicine CurrentSince May 12, 2022 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Medical Health Services PC Emergency Medicine CurrentSince Nov 9, 2025 Accepting new patients
Montefiore Medical Center Emergency Medicine Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

690 Kinderkamack Rd
Ste 103
Oradell, NJ 07649
Phone (201) 267-4785

77 Quaker Ridge Rd
Ste 212
New Rochelle, NY 10804
Phone (201) 483-3760

7 W 96th St
Apt 1H
New York, NY 10025
Phone (201) 483-3760

6 E 39th St
Ste 600
New York, NY 10016
Phone (201) 483-3760

Interoperability endpoints

  • Direct secure messaging: haviva.malina@direct.hobokenumc.md

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1710129002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "MONTEFIORE MEDICAL CENTER - EMERGENCY DEPARTMENT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-904-3333",
            "fax_number": "718-904-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "718-904-3333",
            "fax_number": "718-904-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINA",
        "first_name": "HAVIVA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "251890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.