Jay M Malamut, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA04506300 Issued in NJ

Practice address

217 White Horse Pike
Haddon Heights, NJ 08035-1703

Phone

(856) 547-1212

Fax

(856) 547-3722

NPI assigned

Oct 10, 2005

Last updated

May 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  Gastroenterology

  Medicare reassignment NPD
• Centennial Surgunit, LLC

  dba Centennial Surgery Center

  • Radiology Clinic/Center
  • Voorhees, NJ
  • NPI 1225293087
  NPD
• Centennial Surgunit, LLC

  dba Centennial Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Voorhees, NJ
  • NPI 1912909433
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Medford, NJ
  • NPI 1144770975
  NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1881682367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LEITH HILL DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351703",
            "telephone_number": "856-547-1212",
            "fax_number": "856-547-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Centennial Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439544",
            "country_code": "US",
            "telephone_number": "856-751-2300",
            "fax_number": "856-751-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAMUT",
        "first_name": "JAY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04506300",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04506300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216010203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Medical Associates, PA (Lourdes Medical Associates Surgical Specialists)
• Lourdes Medical Associates, PA (Lourdes Medical Associates- Surgical Associates)
• Lourdes Medical Associates, PA
• Lourdes Surgical Associates
• Nirandra Mahamitra, MD
• Roseann Mancini, LPC
• Christopher Manetta, D.O.
• Mario J. Arena, M.D., P.C.
• Mark Fisher MD Facr LLC
• Jillian Brooke Markowitz, LSW

• Gastroenterology Physician in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.

Verify at the official NPI Registry.