NPIMap

Individual provider Active NPI

Sophie Malamut

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1740833193
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421394 Issued in NY
Practice address
419 Park Ave S RM 1305
New York, NY 10016-8433
Phone
(212) 545-5400
NPI assigned
Jul 23, 2019
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421394 NY Primary

Addresses

Primary practice location

419 Park Ave S RM 1305
New York, NY 10016-8433

Mailing address

471 Lafayette Ave Apt 2
Brooklyn, NY 11205-4872
Phone (917) 885-0920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smalamut105954@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106000359 NY Practitioner - Nurse Practitioner 1951633296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kips Bay Gynecology LLC CurrentSince Jul 28, 2019 Accepting new patients
New York University CurrentSince Oct 25, 2019 Accepting new patients
New York University CurrentSince Oct 25, 2019 Accepting new patients

Locations

419 Park Ave S
Rm 1305
New York, NY 10016
Phone (212) 545-5400

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: smalamut105954@nyumc.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1740833193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 LAFAYETTE AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054872",
            "telephone_number": "917-885-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S RM 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168433",
            "telephone_number": "212-545-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAMUT",
        "first_name": "SOPHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smalamut105954@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "419 Park Ave S Rm 1305",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100168433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.