DR. MARIO SUPAN MALONZO M.D. - NPI 1144424862

Q: What is Mario Malonzo's NPI number?

The NPI number for Mario Malonzo is 1144424862. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Q: What is Mario Malonzo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mario Malonzo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Mario Supan Malonzo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO SUPAN MALONZO M.D. (NPI 1144424862) is an individual pediatrics provider in Bronx, New York, licensed in New York (152890) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144424862

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. MARIO SUPAN MALONZOCredential: M.D.

Location Address1012 E GUN HILL RDBronx, NY 10469-3720

Mailing Address56 Walworth AveScarsdale, NY 10583-1423 · (914) 725-0751 · Fax (914) 722-1730

Phone(718) 918-8850

Sole ProprietorYes

Enumeration DateJune 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1144424862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 152890

Definition

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.

1012 E GUN HILL RD, Bronx, NY 10469

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Other Identifiers 2

Medicare UPINB78966

Medicaid00898540NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Supan Malonzo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10469 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE ELIZABETH ROBERTS

Registered Nurse (Ambulatory Care)