Active NPI
Ryan Malossi
- Physician Assistant
- Hollywood, FL
National Provider Identifier
1972141836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 265-4450
- NPI assigned
- Dec 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
1117 E Hallandale Beach Blvd Ste 1
Hallandale Beach, FL 33009-4488
Phone (954) 454-5131
Other practice location 1
3501 Johnson St
Hollywood, FL 33021
Phone (954) 265-4500
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmalossi235080@mhsdirect.net | Direct | |
| Direct Messaging Address | rmalossi235080@mhsdirect.net | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1972141836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 E HALLANDALE BEACH BLVD STE 1",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094488",
"telephone_number": "954-454-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-265-4450"
}
],
"practiceLocations": [
{
"address_1": "3501 Johnson St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "33021",
"country_code": "US",
"telephone_number": "954-265-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALOSSI",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-11",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmalossi235080@mhsdirect.net",
"affiliation": "N",
"endpointDescription": "direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3501 Johnson St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "33021",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmalossi235080@mhsdirect.net",
"affiliation": "N",
"endpointDescription": "Ryan Malossi",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3501 Johnson St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "33021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.