MALONE EMERGECNY MEDICAL SERVICES (NPI# 1912949637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912949637 |
| Entity Type | Organization |
| Organization Name | MALONE EMERGECNY MEDICAL SERVICES |
| Practice Address |
133 Park St Malone NY 12953-1220 |
| Mailing Address |
484 Temple Hill Rd New Windsor NY 12553-5529 |
| Practice Telephone | 5184812337 |
| Mailing Telephone | 8455653700 |
| Mailing Fax Number | 8455653395 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GERALD A NERI (PRESIDENT) |
| Authorized Official Telephone | 8455653700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01906298 | 05 |
| Street Address |
133 PARK ST |
| City | MALONE |
| State | NY |
| Zip Code | 12953-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557799 | William D Mccarthy | Nurse Anesthetist, Certified Registered | 133 Park St, Malone, NY 12953-1220 | 2005-09-02 |
| 1811537608 | Qi Si Xue | Nurse Practitioner | 133 Park St, Malone, NY 12953-1244 | 2020-01-09 |
| 1558897801 | Shalin Nitin Shah | Internal Medicine | 133 Park St, Malone, NY 12953-1244 | 2017-05-05 |
| 1437696390 | Alice Hyde Medical Center Eip | Early Intervention Provider Agency | 133 Park St, Malone, NY 12953-1244 | 2017-01-30 |
| 1699127795 | Brianne Jeror | Nurse Practitioner | 133 Park St, Malone, NY 12953-1244 | 2016-07-13 |
| 1598148967 | Joshua A Craig | Nurse Practitioner | 133 Park St, Malone, NY 12953-1243 | 2015-07-03 |
| 1194107789 | Jessica Marie Robinson | Nurse Practitioner | 133 Park St, Malone, NY 12953-1243 | 2015-06-19 |
| 1215364856 | Megan Leelannee Bristol | Pharmacist | 133 Park St, Malone, NY 12953-1243 | 2013-09-27 |
| 1598105942 | Yasmina Tbeur | Internal Medicine | 133 Park St, Malone, NY 12953-1244 | 2013-06-30 |
| 1578907044 | Ann Griffith | Nurse Practitioner | 133 Park St, Malone, NY 12953-1243 | 2013-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811235724 | Medical Services of Suffolk County PC | Emergency Medicine | 133 Park St, Malone, NY 12953-1243 | 2013-01-28 |
| 1053655076 | Nes Medical Services of New York, PC | Emergency Medicine | 133 Park St, Malone, NY 12953-1243 | 2012-11-15 |
| 1811146913 | Adam Douglas Hill | Emergency Medicine | 133 Park St, Malone, NY 12953-1243 | 2008-09-12 |
| 1861430415 | Christian F Lamarre | Emergency Medicine | 133 Park St, Malone, NY 12953-1220 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333466 | Rita Mello | Emergency Medicine | 10 Maplemoor Ln, White Plains, NY 10605-4704 | 2020-10-11 |
| 1891318754 | Mat Medical Associates, P.C. | Emergency Medicine | 565 Route 25a Ste 4, Miller Place, NY 11764-2663 | 2020-05-26 |
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1134749658 | Kenneth Yaboh | Emergency Medicine | 1000 Cherrywood Dr, Baldwin, NY 11510-5009 | 2020-04-24 |
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1477180479 | Taj Medical Pllc | Emergency Medicine | 10925 111th St, South Ozone Park, NY 11420-1015 | 2020-03-27 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1659939700 | Richard Edward Smith Medicine PC | Emergency Medicine | 81 Miller Rd Ste 600, S Schodack, NY 12033-4042 | 2019-06-04 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
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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.