Individual provider Active NPI

Vanessa Cheryl Malit, M.D.

  • Surgery Physician
  • Farmington, CT
National Provider Identifier
1982865085
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
53392 Issued in CT
Practice address
11 South Rd
Farmington, CT 06032-2483
Phone
(860) 714-7128
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT192712 PA
Surgery Physician 208600000X 269038 NY
Surgery Physician 208600000X 53392 CT Primary

Addresses

Primary practice location

11 South Rd
Farmington, CT 06032-2483

Mailing address

40 Palmorr PL
Bristol, CT 06010-3165
Phone (860) 751-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020001810 CT Practitioner - General SurgeryPractitioner - Other (Physician) 2860613643 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269038NYMDSurgery Physician
MT192712PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc Surgery CurrentSince Sep 29, 2014 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2024 Accepting new patients
Orthopaedic Associates of Connecticut LLC Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

25 Newell Rd
Ste C14
Bristol, CT 06010
Phone (860) 585-1560

11 South Rd
Farmington, CT 06032
Phone (860) 522-7121

95 Woodland St
Hartford, CT 06105
Phone (860) 677-6143

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

Interoperability endpoints

  • Direct secure messaging: vmalit3351185@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1982865085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PALMORR PL",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103165",
            "telephone_number": "860-751-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322483",
            "telephone_number": "860-714-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIT",
        "first_name": "VANESSA",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT192712",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "269038",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "53392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.