Individual provider Active NPI

Malek Kreidieh, M.D,

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1932721867
Registry record updated Jul 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
323927-01 Issued in NY
Practice address
475 Seaview Avenue
Staten Island University Hospital, Department of Intern
Staten Island, NY 10305
Phone
(718) 226-9000
Fax
(718) 226-1347
NPI assigned
May 14, 2020
Reactivated
Feb 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 323927-01 NY
Internal Medicine Physician 207R00000X 323927-01 NY Primary

Addresses

Primary practice location

475 Seaview Avenue
Staten Island University Hospital, Department of Intern
Staten Island, NY 10305

Mailing address

538 Seaview Ave Apt 538B
Staten Island, NY 10305-3406
Phone (929) 428-3259

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
244202NYMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: mkreidieh39636@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1932721867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 SEAVIEW AVE APT 538B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053406",
            "telephone_number": "929-428-3259",
            "fax_number": "718-226-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVENUE",
            "address_2": "STATEN ISLAND UNIVERSITY HOSPITAL, DEPARTMENT OF INTERN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-9000",
            "fax_number": "718-226-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDIEH",
        "first_name": "MALEK",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "323927-01",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "323927-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2026; 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.