Individual provider Active NPI

Malika Iton, CNM, WHNP

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1811303936
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010580 Issued in PA
Practice address
800 Walnut St FL 14
Philadelphia, PA 19107-5176
Phone
(215) 829-8000
Fax
(215) 829-8623
NPI assigned
Jul 9, 2014
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010580 PA Primary

Addresses

Primary practice location

800 Walnut St FL 14
Philadelphia, PA 19107-5176

Mailing address

800 Walnut St FL 14
Philadelphia, PA 19107-5176
Phone (215) 829-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909000915 PA Practitioner - Certified Nurse Midwife (CNM) 8426373671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego County OB-GYN PC CurrentSince Aug 7, 1998 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Sep 21, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 21, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Advanced Practice Midwife Past Accepting new patients

Locations

42 Montcalm St
Oswego, NY 13126
Phone (315) 343-2590

800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445

800 Walnut St
Fl 15
Philadelphia, PA 19107

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1811303936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000",
            "fax_number": "215-829-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000",
            "fax_number": "215-829-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITON",
        "first_name": "MALIKA",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.