Organization Active NPI

George Malegiannakis Physician PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1952696791
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
224662 Issued in NY
Legal business name
GEORGE MALEGIANNAKIS PHYSICIAN PC
Practice address
1811 Avenue P
Suite 1a
Brooklyn, NY 11229
Phone
(718) 375-7595
Fax
(718) 375-7559
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. George Michael Malegiannakis, MD
Title
Physician
Phone
(718) 375-7595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 224662 NY Primary

Addresses

Primary practice location

1811 Avenue P
Suite 1a
Brooklyn, NY 11229

Mailing address

1811 Avenue P
Suite 1a
Brooklyn, NY 11229
Phone (718) 375-7595

Other identifiers 2

IdentifierTypeStateIssuer
02499338MedicaidNY
1376503383OtherNYNPI

National Provider Directory

National Provider Directory

Locations

1811 Avenue P
Ste 1A
Brooklyn, NY 11229
Phone (718) 375-7595

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1952696791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 AVENUE P",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-375-7595",
            "fax_number": "718-375-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 AVENUE P",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-375-7595",
            "fax_number": "718-375-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MALEGIANNAKIS PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "MALEGIANNAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-375-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02499338",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376503383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.