Louis Malesardi, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004552 Issued in NY

Practice address

121 Eileen Way
Syosset, NY 11791-5302

Phone

(516) 496-4964

Fax

(516) 496-4951

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Phillip Fyman and Alexander Weingarten MD PC

  • Interventional Pain Medicine Physician
  • Jericho, NY
  • NPI 1386747947
  Medicare reassignment
• Phillip Fyman and Alexander Weingarten MD PC

  • Clinical Medical Laboratory
  • Syosset, NY
  • NPI 1457841967
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1760474282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915302",
            "telephone_number": "516-496-4964",
            "fax_number": "516-997-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915302",
            "telephone_number": "516-496-4964",
            "fax_number": "516-496-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALESARDI",
        "first_name": "LOUIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvita Mack, BS
• Lorian Macpherson, PT
• Amol Maddiwar
• Emmanuela Madu
• Tayiba Mahmud
• Suzanne Elizabeth Malgeri, MS/CCC-SLP
• Mohammad Adil Malik, MA
• Unaiza Malik, PHYSICIAN ASSISTANT
• Debra Mallin
• Nicolette Mallios, OTR/L

• Physician Assistant in Syosset, NY
• Providers in Syosset, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.