Kenneth John Malone Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0101301 Issued in NY

Practice address

204 Montauk Hwy
Westhampton Beach, NY 11978-1709

Phone

(631) 998-4455

Fax

(631) 998-4456

NPI assigned

Mar 20, 2007

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1992820732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MONTAUK HWY",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781709",
            "telephone_number": "631-998-4455",
            "fax_number": "631-998-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MONTAUK HWY",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781709",
            "telephone_number": "631-998-4455",
            "fax_number": "631-998-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0101301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Jean Mamakos, M.D.
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• Mauro V. Dibenedetto DMD PC
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• Chiropractor in Westhampton Beach, NY
• Providers in Westhampton Beach, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.