Active NPI
Theodore Malinin
- Specialist
- Miami, FL
National Provider Identifier
1962728063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 193400000X
- Practice address
- 1600 NW 10TH Ave
Room 8084
Miami, FL 33136-1015 - Phone
- (305) 243-5673
- Fax
- (305) 243-1398
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME24402 | FL | |
| Specialist | 174400000X | 193400000X | FL | Primary |
Addresses
Primary practice location
1600 NW 10TH Ave
Room 8084
Miami, FL 33136-1015
Mailing address
1600 NW 10TH Ave
Room 8084
Miami, FL 33136-1015
Phone (305) 243-5673
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193400000X | FL | MD | Counselor |
| ME24402 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1962728063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 NW 10TH AVE",
"address_2": "ROOM 8084",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361015",
"telephone_number": "305-243-5673",
"fax_number": "305-243-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 NW 10TH AVE",
"address_2": "ROOM 8084",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361015",
"telephone_number": "305-243-5673",
"fax_number": "305-243-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALININ",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME24402",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "193400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.