DR. JOHN H MALFETANO (NPI# 1861420911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861420911 |
| Entity Type | Individual |
| Full Name | DR. JOHN H MALFETANO |
| Credential | M.D. |
| Practice Address |
24 Computer Dr W Ste 100 Albany NY 12205-1612 |
| Practice Telephone | 5186897548 |
| Practice Fax Number | 5184897548 |
| Mailing Telephone | 5186897548 |
| Mailing Fax Number | 5184897548 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
154115 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WELLCARE | 110038 | 01 |
| NY | CDPHP | 10005938 | 01 |
| NY | BLUE SHIELD NENY | 141811164 | 01 |
| NY | MVP | 69150 | 01 |
| NY | 00775333 | 05 |
| Street Address |
24 COMPUTER DR W STE 100 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431629 | Mary Beth D'aloia | Advanced Practice Midwife | 24 Computer Dr W, Albany, NY 12205-1679 | 2005-10-19 |
| 1245843408 | Jennifer L Hennessy | Nurse Practitioner | 24 Computer Dr W, Albany, NY 12205-1679 | 2020-08-27 |
| 1558808675 | Lori E. Ciafardoni | Registered Nurse | 24 Computer Dr W, Albany, NY 12205-1679 | 2017-01-26 |
| 1558405969 | Regina Matties | Nurse Practitioner | 24 Computer Dr W, Albany, NY 12205-1612 | 2007-02-18 |
| 1962425561 | Mary Joyce Mcginnis | Obstetrics & Gynecology | 24 Computer Dr W, Albany, NY 12205-1612 | 2006-07-25 |
| 1801816665 | Nicholas Kulbida | Obstetrics & Gynecology | 24 Computer Dr W, Albany, NY 12205-1612 | 2006-07-21 |
| 1245250018 | Judith Page-wilner | Nurse Practitioner | 24 Computer Dr W, Albany, NY 12205-1612 | 2006-07-21 |
| 1194746941 | Mcginnis Womens Medical Care, PC | Obstetrics & Gynecology | 24 Computer Dr W, Albany, NY 12205-1612 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366760282 | Jovana Yanique Martin | Obstetrics & Gynecology | 319 S Manning Blvd Ste 301, Albany, NY 12208 | 2010-05-17 |
| 1588650287 | Daniel C Kredentser | Obstetrics & Gynecology | 391 Myrtle Ave Ste 2, Albany, NY 12208-3797 | 2005-09-27 |
| 1427211366 | Heidi Erika Godoy | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2008-07-09 |
| 1962553479 | Joyce N Barlin | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2007-01-13 |
| 1942297080 | Patrick F Timmins IIi | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2005-10-04 |
| 1659368090 | Timothy J Mcelrath | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363125 | Health Quest Medical Practice, PC | Obstetrics & Gynecology | 1240 Ulster Ave--gyn. Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
| 1447803028 | Dib Sassine | Obstetrics & Gynecology | 1233 York Ave Apt 10q, New York, NY 10065-6342 | 2019-07-22 |
| 1578049417 | Derman Basaran | Obstetrics & Gynecology | 504 E 63rd St Apt 17l, New York, NY 10065-7920 | 2018-07-13 |
| 1740706415 | Benny Brandt | Obstetrics & Gynecology | 1233 York Ave Apt 11o, New York, NY 10065-6342 | 2017-08-15 |
| 1447666862 | Zeitoun Medical Pllc | Obstetrics & Gynecology | 139 E 23rd St Fl 2, New York, NY 10010-3788 | 2014-07-07 |
| 1912265315 | David Gal | Obstetrics & Gynecology | 515 E 79th St Apt 28a, New York, NY 10075-0781 | 2012-04-24 |
| 1184990384 | Deanna Gerber | Obstetrics & Gynecology | 22 Heritage Dr Apt B, New City, NY 10956-5350 | 2012-04-02 |
| 1497032106 | Eugenia Girda | Obstetrics & Gynecology | 1732 E 13th St, Brooklyn, NY 11229-1902 | 2011-11-08 |
| 1972895092 | Gregory Matthew Gressel | Obstetrics & Gynecology | 1695 Eastchester Rd Ste 600, Bronx, NY 10461 | 2011-05-08 |
| 1902030679 | Melissa Kristen Frey | Obstetrics & Gynecology | 525 E 68th St # 122, New York, NY 10065 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
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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.