Organization Active NPI

Doctor Malvar & Associate

  • General Practice Physician
  • New Castle, PA
National Provider Identifier
1811954548
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DOCTOR MALVAR & ASSOCIATE
Practice address
178 Enclave Dr
New Castle, PA 16105-3208
Phone
(724) 658-7765
Fax
(724) 658-1662
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dorothy Malvar
Title
Office Manager
Phone
(724) 658-7765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

178 Enclave Dr
New Castle, PA 16105-3208

Mailing address

178 Enclave Dr
New Castle, PA 16105-3208
Phone (724) 658-7765

Other identifiers 2

IdentifierTypeStateIssuer
1345288OtherPABLUE SHIELD
CJ3565OtherPAMEDICARE TRAVELERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422000521 PA Part B Supplier - Clinic/Group Practice 2163460874 Receives reassigned benefits from 2 practitioners
Practice locations: New Castle, PA

National Provider Directory

National Provider Directory
Tax ID family
Doctor Malvar Associate2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

178 Enclave Dr
Ste A
New Castle, PA 16105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1811954548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053208",
            "telephone_number": "724-658-7765",
            "fax_number": "724-658-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053208",
            "telephone_number": "724-658-7765",
            "fax_number": "724-658-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR MALVAR & ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MALVAR",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-658-7765"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1345288",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "CJ3565",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.