Active NPI
Raymond Malayev
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1851536684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305028-1
- Practice address
- 1 Penn PLZ
7TH Floor Suite 725
New York, NY 10119-0002 - Phone
- (800) 842-2478
- Fax
- (212) 216-6606
- NPI assigned
- Dec 8, 2008
- Last updated
- Jul 2, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305028-1 | NY | Primary |
Addresses
Primary practice location
1 Penn PLZ
7TH Floor Suite 725
New York, NY 10119-0002
Mailing address
1 Penn PLZ
7TH Floor Suite 725
New York, NY 10119-0002
Phone (800) 842-2478
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305028 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond Malayev NP in Adult Health PC | Adult Health | Current | Accepting new patients |
| Rego Park Medical Associate,P.C | Past | Accepting new patients | |
| Optum Care Services Company | Adult Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Health Nurse Practitioner
- Fresh Meadows, NY
- NPI 1841179702
-
- Primary Care Clinic/Center
- Rego Park, NY
- NPI 1215268669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1851536684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"address_2": "7TH FLOOR SUITE 725",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "800-842-2478",
"fax_number": "212-216-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"address_2": "7TH FLOOR SUITE 725",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "800-842-2478",
"fax_number": "212-216-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAYEV",
"first_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-08",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305028-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.