DR. MARIO SUPAN MALONZO (NPI# 1144424862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144424862 |
| Entity Type | Individual |
| Full Name | DR. MARIO SUPAN MALONZO |
| Credential | M.D. |
| Practice Address |
1012 E Gun Hill Rd Bronx NY 10469-3720 |
| Mailing Address |
56 Walworth Ave Scarsdale NY 10583-1423 |
| Practice Telephone | 7189188850 |
| Mailing Telephone | 9147250751 |
| Mailing Fax Number | 9147221730 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 152890 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00898540 | 05 |
| Street Address |
1012 E GUN HILL RD |
| City | BRONX |
| State | NY |
| Zip Code | 10469-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275603474 | Joquetta D Paige | Family Medicine | 1012 E Gun Hill Rd, Bronx, NY 10469-3720 | 2006-11-08 |
| 1275831695 | Nicole Elizabeth Roberts | Registered Nurse | 1012 E Gun Hill Rd, Bronx, NY 10469-3720 | 2011-03-09 |
| 1922316447 | Jacobi Medical Center | Clinic/Center | 1012 E Gun Hill Rd, Bronx, NY 10469-3720 | 2010-09-17 |
| 1790093508 | Jacobi-health and Hospital Corporation | Clinic/Center | 1012 E Gun Hill Rd, Bronx, NY 10469-3720 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1083008932 | Claudia Suarez-makotsi | Pediatrics | 2300 Westchester Ave Ste 302, Bronx, NY 10462 | 2015-03-27 |
| 1588058846 | Aisha Angela Bobb-semple | Pediatrics | 1650 Grand Concourse Fl 3, Bronx, NY 10457-7606 | 2015-03-25 |
| 1972996809 | Rebecca Ariella Berger | Pediatrics | 2100 Bartow Ave Rm 311, Bronx, NY 10475-4614 | 2015-03-17 |
| 1962807446 | Hoda Karbalivand | Pediatrics | 1400 Pelham Pkwy S # 6-b25, Bronx, NY 10461-1197 | 2014-10-27 |
| 1871997924 | Ganguly Associates Md PC | Pediatrics | 140 Benchley Pl Frnt 1, Bronx, NY 10475-3502 | 2014-10-17 |
| 1871994228 | Elmer Arteaga Medical PC | Pediatrics | 3201 Grand Concourse Apt 2m, Bronx, NY 10468-1226 | 2014-09-04 |
| 1154734598 | Nora Barmawi | Pediatrics | 4487 3rd Ave Fl 2, Bronx, NY 10457-1526 | 2014-06-03 |
| 1740539931 | Nataliya Krivitskaya | Pediatrics | 627 Lydig Ave, 1 Fl, Bronx, NY 10462-2283 | 2012-09-03 |
| 1770847600 | Merna Gordon | Pediatrics | 770 Grote Street, Bronx, NY 10460 | 2012-06-26 |
| Find all providers in BRONX | ||||
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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.