MARVELLE MALONEY (NPI# 1063815173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063815173 |
| Entity Type | Individual |
| Full Name | MARVELLE MALONEY |
| Credential | M.D. |
| Practice Address |
264 Boyden Ave Maplewood NJ 07040 |
| Mailing Address |
264 Boyden Ave Maplewood NJ 07040-3070 |
| Practice Telephone | 9174038057 |
| Mailing Telephone | 9737615200 |
| Mailing Fax Number | 9737610764 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25MA10395200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
264 BOYDEN AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871565887 | Dina Prus | Internal Medicine | 264 Boyden Ave, Empire Medical Group, Maplewood, NJ 07040-3070 | 2006-02-03 |
| 1417566498 | Matthew Parmar | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2020-07-27 |
| 1295380228 | Kathryn M Michelotti | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2019-08-06 |
| 1962951616 | Sandra Jeanne Thompson | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-09-22 |
| 1710344155 | Empire Surgical Assistants, LLC | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-01-15 |
| 1972975142 | Neiha, LLC | Internal Medicine | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-10-27 |
| 1043691736 | Empire Medical Urgentcare Center LLC | Clinic/Center | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-06-18 |
| 1518216274 | Heather Ann Sabol | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2012-09-10 |
| 1952656787 | Jessica Leigh Wolkun | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2012-07-18 |
| 1629209333 | Empire Medical Associates, PC | Internal Medicine | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2009-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1346280336 | Alexander Gudz | Obstetrics & Gynecology | 749 Irvington Ave, Maplewood, NJ 07040-1607 | 2006-06-07 |
| 1275584054 | Donna Smith | Obstetrics & Gynecology | 2040 Milburn Ave, Suite 306, Maplewood, NJ 07040 | 2006-05-15 |
| 1306828413 | Christopher E Ott | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2005-11-15 |
| 1326495334 | Rachel Zilles | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-05-19 |
| 1558758144 | Elizabeth Rice | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2015-04-21 |
| 1033524160 | Katherine R Brady | Obstetrics & Gynecology | 2945 Hazelwood St, Maplewood, MN 55109 | 2014-06-27 |
| 1467712976 | Donna M. Smith, M.d., P.a. | Obstetrics & Gynecology | 2040 Millburn Ave, Suite 306, Maplewood, NJ 07040-3726 | 2012-05-18 |
| 1538350962 | Megan Lynn Mcellistrem-ramierez | Obstetrics & Gynecology | 1737 Beam Ave, Maplewood, MN 55109-2185 | 2007-08-09 |
| 1669524336 | Yvonne Wright-cadet, Md, PC | Obstetrics & Gynecology | 2130 Millburn Ave, Suite C14, Maplewood, NJ 07040-3728 | 2007-01-16 |
| 1932122777 | Joanne Berthiaume Votel | Obstetrics & Gynecology | 1737 Beam Ave, Maplewood, MN 55109-2185 | 2006-07-25 |
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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.