Organization Active NPI

Marcus Malone MD

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Vero Beach, FL
National Provider Identifier
1972972800
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
ME99007 Issued in FL
Legal business name
MARCUS MALONE MD
Practice address
1715 37TH PL
Suite #200
Vero Beach, FL 32960-4502
Phone
(772) 581-3990
Fax
(772) 581-3991
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Marcus Malone, MD
Title
Owner/Physician
Phone
(772) 581-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081H0002X ME99007 FL Primary

Addresses

Primary practice location

1715 37TH PL
Suite #200
Vero Beach, FL 32960-4502

Mailing address

9611 N US Highway 1
Suite #166
Sebastian, FL 32958-6363
Phone (772) 581-3990

Other identifiers 1

IdentifierTypeStateIssuer
ME99007OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

9611 N US Highway 1
Sebastian, FL 32958
Phone (772) 332-5211

1715 37th Pl
Ste 200
Vero Beach, FL 32960
Phone (772) 581-3990

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1972972800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 N US HIGHWAY 1",
            "address_2": "SUITE #166",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586363",
            "telephone_number": "772-581-3990",
            "fax_number": "772-581-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 37TH PL",
            "address_2": "SUITE #200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604502",
            "telephone_number": "772-581-3990",
            "fax_number": "772-581-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS MALONE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "772-581-3990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME99007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME99007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.