Active NPI
Sigrid Malicay
- Developmental Therapist
- Lebanon, NJ
National Provider Identifier
1972998490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- PT022525
- Practice address
- 5 Conover Ter
Lebanon, NJ 08833-2177 - Phone
- (478) 484-3624
- NPI assigned
- Apr 1, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | PT022525 | PA | Primary |
Addresses
Primary practice location
5 Conover Ter
Lebanon, NJ 08833-2177
Mailing address
5 Conover Ter
Lebanon, NJ 08833-2177
Phone (478) 484-3624
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 |
|---|---|---|---|
| PT022525 | PA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1972998490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CONOVER TER",
"city": "LEBANON",
"state": "NJ",
"postal_code": "088332177",
"telephone_number": "478-484-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CONOVER TER",
"city": "LEBANON",
"state": "NJ",
"postal_code": "088332177",
"telephone_number": "478-484-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALICAY",
"first_name": "SIGRID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "PA",
"license": "PT022525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.