SAMUEL MALAN
NPI 1154024750
Student in an Organized Health Care Education/Training Program in Bethlehem, PA

Active since March 23, 2023PECOS Enrolled
801 OSTRUM ST STE 1, BETHLEHEM, PA 18015(484) 526-4644(833) 828-1813 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Malan NPPES

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

SAMUEL MALAN (NPI 1154024750) is an individual student in an organized health care education/training program in Bethlehem, Pennsylvania, licensed in Pennsylvania (HS000216L) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154024750
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL MALAN
Location Address801 OSTRUM ST STE 1Bethlehem, PA 18015-1065
Mailing Address801 Ostrum St Ste 1Bethlehem, PA 18015-1065 · (484) 526-4644 · Fax (833) 828-1813
Fax(833) 828-1813
Sole ProprietorYes
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 21, 2023
NPI 1154024750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · HS000216L
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
801 OSTRUM ST STE 1, Bethlehem, PA 18015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Malan 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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015
Orthopaedic Surgery
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015
Internal Medicine (Critical Care Medicine)
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015
Obstetrics & Gynecology
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015
Student in an Organized Health Care Education/Training Program
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015
Student in an Organized Health Care Education/Training Program
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015
Student in an Organized Health Care Education/Training Program
801 OSTRUM ST STE 1
BETHLEHEM, PA 18015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Malan's NPI number?

The NPI number for Samuel Malan is 1154024750. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Samuel Malan located?

Samuel Malan practices at 801 Ostrum St Ste 1, Bethlehem, PA 18015. The listed phone number is (484) 526-4644.

What is Samuel Malan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Malan enrolled in Medicare?

Yes. Samuel Malan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Malan was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.