Kimberly Malloy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

713152 Issued in NY

Practice address

115 W 172ND St Apt 5G
Bronx, NY 10452-1849

Phone

(917) 757-7821

NPI assigned

Oct 18, 2018

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1962978882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 172ND ST APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521849",
            "telephone_number": "917-757-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 172ND ST APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521849",
            "telephone_number": "917-757-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "713152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Lisa Mallis, PA
• Marleni Mallol
• Erin Danielle Mallon, M.S.ED
• Philip Mallory Sr., LMHC CASAC
• Ernestina Malloy
• Sandella Malloy, R.N.
• Juan Sebastian Malo, M.D.
• Brianna Malone, LCSW
• Gerard Kevin Malone
• Michele Malone

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.