Active NPI
Justito Malazarte, MD
- Anesthesiology Physician
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA06356300
- Practice address
- 230 E Ridgewood Ave
Paramus, NJ 07652-4142 - Phone
- (973) 779-7361
- Fax
- (973) 779-7385
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA63536 | NJ | |
| Anesthesiology Physician | 207L00000X | 25MA06356300 | NJ | Primary |
Addresses
Primary practice location
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Mailing address
PO Box 1258
Clifton, NJ 07012-0758
Phone (973) 779-7361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7546408 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400
Hospital & facility affiliations
- Carewell Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA63536 | NJ | MD | Specialist |
| 25MA06356300 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Mid-State Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Bergen County Improvement Authority | Current | Accepting new patients | |
| Bergen County Improvement Authority | Current | Accepting new patients | |
| Ironbound Endo Surgical Center, Inc. | Current | Accepting new patients | |
| Podiatric Management | Past | Accepting new patients |
Locations
50 Mount Prospect Ave
Ste 203
Clifton, NJ 07013
Phone (862) 238-8250
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
24 Merchant St
Newark, NJ 07105
Phone (973) 344-4787
230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
Interoperability endpoints
- https://api.platform.athenahealth.com/21931/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1891836441
-
- Ambulatory Surgical Clinic/Center
- Newark, NJ
- NPI 1538389812
-
- Anesthesiology Physician
- Clifton, NJ
- NPI 1346609138
-
- Psychiatric Hospital Unit
- Paramus, NJ
- NPI 1952456295
-
- Primary Podiatric Medicine Podiatrist
- Newark, NJ
- NPI 1760540496
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1851399588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070120758",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E RIDGEWOOD AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524142",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAZARTE",
"first_name": "JUSTITO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA63536",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA06356300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7546408",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.