Individual provider Active NPI

Aida A. Malonzo, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1871614057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
037964 Issued in FL
Practice address
1512 Palm Ave
Jacksonville, FL 32207-2916
Phone
(904) 399-8383
Fax
(904) 399-8383
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 037964 FL Primary

Addresses

Primary practice location

1512 Palm Ave
Jacksonville, FL 32207-2916

Mailing address

1512 Palm Ave
Jacksonville, FL 32207-2916
Phone (904) 399-8383

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037964FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Obstetrical and Gynecological Associates PA Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871614057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 PALM AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072916",
            "telephone_number": "904-399-8383",
            "fax_number": "904-399-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 PALM AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072916",
            "telephone_number": "904-399-8383",
            "fax_number": "904-399-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONZO",
        "first_name": "AIDA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "037964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.