Laurence Jay Malzberg, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007898 Issued in NY

Practice address

560 1St Ave
NYU School of Medicine
New York, NY 10016

Phone

(212) 263-5278

NPI assigned

Jul 20, 2011

Last updated

Jul 20, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1881982130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 1ST AVE",
            "address_2": "NYU SCHOOL OF MEDICINE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-263-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALZBERG",
        "first_name": "LAURENCE",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sofia Malventano Orozco, DMD
• Philip Anthony Malvone, PHARM.D.
• Christopher J Malynowski, PA
• Aleksandra Malz
• Gregory Malzberg
• Mama Glow LLC
• Maia Mamamtavrishvili, M.D.
• Daniel Yaron Maman, M.D.
• Yair Maman, PHD DPSYCH
• Mimon Yehuda Mamane, LCSW

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.