Individual provider Active NPI

Amy M Malek, D.C.

  • Chiropractor
  • Providence, RI
National Provider Identifier
1730286329
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP430 Issued in RI
Practice address
560 Elmwood Ave
Providence, RI 02907-1836
Phone
(401) 421-1125
Fax
(401) 421-3951
NPI assigned
Sep 17, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2513 MA
Chiropractor 111N00000X DCP430 RI Primary

Addresses

Primary practice location

560 Elmwood Ave
Providence, RI 02907-1836

Mailing address

99 Garfield Ave
Providence, RI 02908-4354
Phone (401) 286-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000157 RI Practitioner - Chiropractic 8628033883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decrescenzo Chiropractic, IncGroup PAC ID 5698800340, 4 clinicians

Practice addresses (Care Compare)

1084 Broad St
Central Falls, RI 02863-1516
Phone (401) 365-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP430RIMDChiropractor
2513MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Decrescenzo Chiropractic, Inc. Chiropractor CurrentSince Jul 6, 2019 Accepting new patients
Dr Arianna Iannuccilli DC., Inc Chiropractor PastSince Nov 27, 2022 Accepting new patients

Locations

160 Taunton Ave
East Providence, RI 02914
Phone (401) 270-8865

1168 Newport Ave
Pawtucket, RI 02861
Phone (401) 725-2112

Organizations & group practices 2

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1730286329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GARFIELD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084354",
            "telephone_number": "401-286-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 ELMWOOD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071836",
            "telephone_number": "401-421-1125",
            "fax_number": "401-421-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2513",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.