Puja Malhotra, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15124 Issued in MD

Practice address

1 Stoll CT
Dix Hills, NY 11746-7811

Phone

(631) 421-3480

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1992377923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STOLL CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467811",
            "telephone_number": "631-421-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STOLL CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467811",
            "telephone_number": "631-421-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "PUJA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Betterhealth",
            "affiliation": "N",
            "address_1": "1 Stoll Ct",
            "city": "Dix Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117467811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Genevieve Christel Magny, RN
• Michele Marie Mahon, MD
• Vibhor Makkar, D.P.T
• Rana Makki, PHARMD
• Amanda Marie Maldonado, LMSW
• Paula Mallia Lagreca, PT
• Janet Lynne Mallow, OTR/L
• Karen J. Maltese, PT
• Harvey Norman Maltz, DDS
• Even Mark Marcos-Gonzalez, LMSW, CASAC-T

• Clinical Social Worker in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.