KIMBERLY A MALLIN (NPI# 1750349502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750349502 |
| Entity Type | Individual |
| Full Name | KIMBERLY A MALLIN |
| Credential | M.D. |
| Practice Address |
411 Van Brunt St Brooklyn NY 11231 |
| Mailing Address |
29 Cliff St Apt 21d New York NY 10038-2879 |
| Practice Telephone | 7344769931 |
| Mailing Telephone | 8432760217 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 292697 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 21724 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 217243 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 602 N Main St, Summerville, SC 294836627 | 8438762121 | 8438762120 |
| Street Address |
411 VAN BRUNT ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255735 | Olivia Hayes | Nurse Practitioner | 411 Van Brunt St, Brooklyn, NY 11231-1008 | 2020-08-10 |
| 1689219677 | Joseph Turkel | Substance Abuse Rehabilitation Facility | 411 Van Brunt St, Brooklyn, NY 11231-1008 | 2019-11-13 |
| 1174096267 | Urban Recovery House LLC | Substance Abuse Rehabilitation Facility | 411 Van Brunt St, Brooklyn, NY 11231-1008 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230395 | Delta Holly Hunter | Social Worker | 295 Smith Street, Brooklyn, NY 11231 | 2020-06-23 |
| 1306482021 | Sara Teta | Psychologist | 436 Court Street # 7, Brooklyn, NY 11231 | 2019-11-19 |
| 1306327291 | Dana Freed | Psychologist | 436 Court Street, Brooklyn, NY 11231 | 2018-08-28 |
| 1134653470 | Juwana Trisvan | Community/Behavioral Health | 624 Clinton Street, Brooklyn, NY 11231 | 2017-04-13 |
| 1609248442 | Janice Theresa Foster | Pharmacist | 395 Court Street, Brooklyn, NY 11231 | 2015-10-20 |
| 1568857761 | Karen Calvarino | Specialist | 51a Douglass Street, Brooklyn, NY 11231 | 2015-04-03 |
| 1780098715 | Madeline Peikes | Doula | 74 Dikeman Street, Brooklyn, NY 11231 | 2014-06-18 |
| 1275946790 | Edward Mcshane | Physician Assistant | 298a Carroll St., Brooklyn, NY 11231 | 2014-06-03 |
| 1932446531 | London A. King | Health Educator | 85 1/2 3rd Place, Apt. 1, Brooklyn, NY 11231 | 2013-01-16 |
| 1578810883 | Joseph P. Addabbo Family Health Center, Inc. | Clinic/Center | 120 Richards Street, Brooklyn, NY 11231 | 2012-08-07 |
| Find all providers in zip 11231 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782972 | Home Physician Assistant Services PC | Family Medicine | 2119 E 15th St Ste B1, Brooklyn, NY 11229-4376 | 2020-08-26 |
| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
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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.