Randolph Joshua Malsky

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

404656 Issued in NY

Practice address

5 Silver Beech CT
Setauket, NY 11733-4039

Phone

(631) 560-4658

NPI assigned

Dec 21, 2022

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Island Psychiatry PCGroup PAC ID 9032490610, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Island Psychiatry, P.C.

  • Cognitive & Behavioral Psychologist
  • Port Jefferson, NY
  • NPI 1609249754

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Welllife Network Inc.,

  • Clinic/Center
  • Huntington, NY
  • NPI 1932125721

  Single Specialty

  Medicare reassignment NPD
• Welllife Network Inc

  • Case Management Agency
  • Elmont, NY
  • NPI 1508012816
  NPD
• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906

  Single Specialty

  NPD

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1730891755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SILVER BEECH CT",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117334039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SILVER BEECH CT",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117334039",
            "telephone_number": "631-560-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSKY",
        "first_name": "RANDOLPH",
        "middle_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirka Louca, LCSW-R
• Brian Ludwig
• Loren Deidre Lyons, WHNP-BC
• Li Ma, DDS
• Katherine Macdevitt, R.N
• Crista Elizabeth Maracic, PHD
• Sandra Temple Marinelli, DC
• Ann M Marks
• Christine A Martorana, NP
• Raul Jose Masakayan, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Setauket, NY
• Providers in Setauket, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.