Active NPI
Mary Maloy, R.D.
- Registered Dietitian
- New Haven, CT
National Provider Identifier
1932106614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000718
- Practice address
- 400 Mansfield St
New Haven, CT 06511-2023 - Phone
- (203) 710-6322
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000718 | CT | Primary |
Addresses
Primary practice location
400 Mansfield St
New Haven, CT 06511-2023
Mailing address
400 Mansfield St
New Haven, CT 06511-2023
Phone (203) 710-6322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442444 | Other | ADA REGISTRATION NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000718 | CT | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932106614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MANSFIELD ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112023",
"telephone_number": "203-710-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MANSFIELD ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112023",
"telephone_number": "203-710-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOY",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADA REGISTRATION NUMBER",
"identifier": "442444",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
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.