Active NPI
Christine Maloney, MSN, CRNP
- Gerontology Nurse Practitioner
- King of Prussia, PA
National Provider Identifier
1720215890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP003968H
- Practice address
- 1060 First Ave
Suite 400
King of Prussia, PA 19406-1336 - Phone
- (610) 768-8040
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP003968H | PA | Primary |
Addresses
Primary practice location
1060 First Ave
Suite 400
King of Prussia, PA 19406-1336
Mailing address
6028 Cannon Hill Rd
Fort Washington, PA 19034-1802
Phone (215) 520-2446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103079704 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMP Medical LLC | Current | Accepting new patients | |
| Wyndmoor Rehab Associates P.C. | Past | Accepting new patients | |
| House Call Group, PC | Past | Accepting new patients | |
| Center for Optimal Health LLC | Past | Accepting new patients | |
| Visiting Physicians of the Delaware Valley LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1619587227
-
- Physical Medicine & Rehabilitation Physician
- Plymouth Meeting, PA
- NPI 1598732117
-
- Family Medicine Physician
- Flourtown, PA
- NPI 1235136904
-
- Adult Medicine Physician
- Bensalem, PA
- NPI 1912202250
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1447295779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1720215890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6028 CANNON HILL RD",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341802",
"telephone_number": "215-520-2446",
"fax_number": "610-828-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 FIRST AVE",
"address_2": "SUITE 400",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061336",
"telephone_number": "610-768-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "MSN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP003968H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103079704",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.