Individual provider Active NPI

Joseph John Maljovec, M.D.

  • Obstetrics & Gynecology Physician
  • Warren, PA
National Provider Identifier
1760463574
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD023842E Issued in PA
Practice address
14 Plumber St
Warren, PA 16365-1202
Phone
(814) 723-2323
Fax
(814) 726-3337
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD023842E PA
Obstetrics & Gynecology Physician 207V00000X MD023842E PA Primary

Addresses

Primary practice location

14 Plumber St
Warren, PA 16365-1202

Mailing address

14 Plumber St
Warren, PA 16365-1202
Phone (814) 723-2323

Other practice location 1

2265 Market St Ste B
Warren, PA 16365-4682
Phone (814) 726-1122

Other identifiers 8

IdentifierTypeStateIssuer
0009405150010MedicaidPA
0009405150003MedicaidPA
104179OtherPAUNISON/MEDPLUS
00025102301OtherPAUNIVERA HEALTHCARE
219414OtherPAUPMC
051052OtherPABLUE SHIELD
160039919OtherPAMEDICARE RAILROAD
89086OtherPAGHI HMO

Other names 1

  • Dr. John Maljovec Professional name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD023842EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital PastSince Jan 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Warren Obstetrics and Gynecology Past Accepting new patients
Damian T Horner DO Family Practice PastSince Feb 10, 2014 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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1760463574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLUMBER ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651202",
            "telephone_number": "814-723-2323",
            "fax_number": "814-726-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLUMBER ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651202",
            "telephone_number": "814-723-2323",
            "fax_number": "814-726-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Market St Ste B",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163654682",
            "country_code": "US",
            "telephone_number": "814-726-1122",
            "fax_number": "814-723-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALJOVEC",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD023842E",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD023842E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009405150010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009405150003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON/MEDPLUS",
            "identifier": "104179",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00025102301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "219414",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "051052",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160039919",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "89086",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MALJOVEC",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.