Individual provider Active NPI

Josephine Marie Malfitano, DNP, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1811282114
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
128237 - 5005139 Issued in NC
Practice address
115 Fairway Rd
Jacksonville, NC 28546-8118
Phone
(910) 382-6955
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336752-1 NY
Family Nurse Practitioner 363LF0000X 128237 - 5005139 NC Primary

Addresses

Primary practice location

115 Fairway Rd
Jacksonville, NC 28546-8118

Mailing address

115 Fairway Rd
Jacksonville, NC 28546-8118
Phone (910) 382-6955

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

State licenses

LicenseStateTypeSpecialty
128237 - 5005139NCMDFamily Nurse Practitioner
F336752-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1811282114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FAIRWAY RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468118",
            "telephone_number": "910-382-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FAIRWAY RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468118",
            "telephone_number": "910-382-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALFITANO",
        "first_name": "JOSEPHINE",
        "middle_name": "MARIE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336752-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "128237    -  5005139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.