MARC MALLER (NPI# 1134222144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134222144 |
| Entity Type | Individual |
| Full Name | MARC MALLER |
| Credential | MD |
| Practice Address |
700 E Brighton Avenue Syracuse NY 13205 |
| Practice Telephone | 3154133279 |
| Practice Fax Number | 3154696558 |
| Mailing Telephone | 3154133279 |
| Mailing Fax Number | 3154696558 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
144029 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
700 E BRIGHTON AVENUE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396812566 | Hongjuan Li | Nurse Practitioner | 700 E Brighton Avenue, Syracuse, NY 13205 | 2006-11-30 |
| 1205903473 | Connie S Rhodes | Nurse Practitioner | 700 E Brighton Avenue, Syracuse, NY 13205 | 2006-11-30 |
| 1114094380 | Kenneth Earl Boyce | Physician Assistant | 700 E Brighton Avenue, Syracuse, NY 13205 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682475 | Salut Medical PC | Family Medicine | 699 Stanley Ave, Brooklyn, NY 11207-7905 | 2016-07-12 |
| 1316316789 | Balance Medical Professional Primary Services Pllc | Family Medicine | 1150 Webster Ave., Bronx, NY 10456 | 2015-09-16 |
| 1225416837 | Good Neighbor Family Practice and Geriatrics, P.C. | Family Medicine | 13338 41st Rd Ste Co-3, Flushing, NY 11355-3782 | 2015-05-14 |
| 1245667930 | Yelena Faynzilbert Do Pllc | Family Medicine | 62 Stratford Green, Farmingdale, NY 11735 | 2013-09-26 |
| 1063779346 | Melissa Borrero Md, Pllc | Family Medicine | 405 E 116th St, Unit 2, New York, NY 10029-1623 | 2012-04-11 |
| 1588943047 | J&j Star Medical Pllc | Family Medicine | 9320 70th Ave, Forest Hills, NY 11375-5828 | 2011-08-15 |
| 1629360995 | Eugene A Steinberg Md PC | Family Medicine | 8 Thames Ct, Getzville, NY 14068-1177 | 2011-05-05 |
| 1891010781 | Christine R. Viola | Family Medicine | 415 Ocean Pkwy, 4a, Brooklyn, NY 11218-4748 | 2010-04-02 |
| 1518190305 | Raouf Kodsy Physician PC | Family Medicine | 1644 Genesee St, Utica, NY 13502-5428 | 2009-08-27 |
| 1467694703 | Amandeep Pal | Family Medicine | 6334 Robinson Rd, Lockport, NY 14094 | 2009-04-01 |
| 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.