James W Malewicz, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20598 Issued in NY

Practice address

14839 Hillside Ave
Jamaica, NY 11435-3330

Phone

(718) 206-1368

Fax

(718) 206-9141

NPI assigned

Mar 27, 2014

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Interline Eap

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1003030644
  NPD (past)

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1922425958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14839 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "718-206-1368",
            "fax_number": "718-206-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14839 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "718-206-1368",
            "fax_number": "718-206-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEWICZ",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "20598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyacheslav Malayev
• Carla Malcolm
• Michelle Malcolm, LPN
• Lorena Marie Maldonado, MSW
• Mohsinhusain Shaukathusain Malek, PT
• Jeremias Mercado Mallari, RN
• Jinky Lampa Mallari, LPN
• Farzana Mallick
• David Mallin, M.D.
• Avril Maloney-McAlmont, LCSW

• Addiction (Substance Use Disorder) Counselor in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.