GREGORY MALAT (NPI# 1104192558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104192558 |
| Entity Type | Individual |
| Full Name | GREGORY MALAT |
| Practice Address |
216 N Broad St Ms 417 5th Floor Feinstein Bldg Philadelphia PA 19102-1121 |
| Mailing Address |
7 Brookdale Dr New Britain PA 18901-5073 |
| Practice Telephone | 2157623823 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP440029 | PA | Pharmacy Service Providers |
| Street Address |
216 N BROAD ST MS 417 5TH FLOOR FEINSTEIN BLDG |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
| 1841569167 | Andres Riera | Internal Medicine | 216 N Broad St, Philadelphia, PA 19102 | 2011-12-14 |
| 1376810192 | Roberto Eduarte Velasco | Nurse Practitioner | 216 N Broad St, 12318 New College Building, Philadelphia, PA 19102-1121 | 2011-11-22 |
| 1972886885 | Priscilla Bosacco | Nurse Practitioner | 216 N Broad St, Feinstein Building, 2nd Floor, Philadelphia, PA 19102-1121 | 2011-09-27 |
| 1972747285 | Jasjit Kaur Beausang | Obstetrics & Gynecology | 216 N Broad St, Floor 4 Feinstein Building, Philadelphia, PA 19102-1121 | 2009-04-30 |
| 1215192521 | Karen M Berkowitz | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Philadelphia, PA 19102-1121 | 2008-07-25 |
| 1417135161 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Feinstein, Philadelphia, PA 19102-1121 | 2008-02-05 |
| 1568647592 | Laird Jackson | Obstetrics & Gynecology | 216 N Broad St, Philadelphia, PA 19102-1121 | 2008-01-09 |
| 1023227444 | Lissa Beth Levin Mizrahi | Internal Medicine | 216 N Broad St, 5th Floor, Philadelphia, PA 19102-1121 | 2007-05-22 |
| 1558575894 | M. Velma Weitz | Nurse Practitioner | 216 N Broad St, Philadelphia, PA 19102-1121 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355030 | Nur Kazzaz | Pharmacist | 3401 N Broad St Ste B150, Philadelphia, PA 19140-5103 | 2020-04-22 |
| 1164903381 | Suzanne Scott Giyanani | Pharmacist | 200 W Washington Sq Apt 3609, Philadelphia, PA 19106-3538 | 2018-08-25 |
| 1629412713 | Rath Hean | Pharmacist | 2131 N Broad St, Philadelphia, PA 19122-1105 | 2013-04-19 |
| 1992010540 | Wayne S Binder | Pharmacist | 9920 Bustleton Ave., Philadelphia, PA 19115 | 2010-08-06 |
| 1336453521 | Casandra Bonita Jeter | Pharmacist | 2201 W Allegheny Ave, Philadelphia, PA 19132-1420 | 2010-07-30 |
| 1689993784 | Alina Kandov | Pharmacist | 9920 Bustleton Avenue, Philadelphia, PA 19115-1006 | 2010-05-28 |
| 1700483120 | James Joseph Cavage II | Pharmacist | 200 Stevens Dr, Philadelphia, PA 19113-1532 | 2020-10-08 |
| 1376165407 | Jenny Au | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-05-12 |
| 1043831480 | Alasan Jallow | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-04-27 |
| 1477190288 | Sherin Abu | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2019-12-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.