Amy Sue Malave, A.N.P., G.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301351-1 Issued in NY

Practice address

100 Center Dr
Riverhead, NY 11901-3307

Phone

(631) 852-1987

Fax

(631) 852-3966

NPI assigned

Jan 2, 2012

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1992075329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013307",
            "telephone_number": "631-852-1987",
            "fax_number": "631-852-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTER DR",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013307",
            "telephone_number": "631-852-1987",
            "fax_number": "631-852-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVE",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "A.N.P., G.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301351-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir-Ali Mahmoud, MD
• Cean Mahmud, M.D.
• Kathleen A Mahoney, RN
• Matthew Mahoney
• Rohit Maini, M.D.
• Jenny Rose Mancuso, RN
• Eileen Mangino, LCSW
• Tara Lynn Mann
• Jason Manohar, OD
• Randolph Dacanay Manriquez, D.O.

• Adult Health Nurse Practitioner in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.