PHILIP JAMES MALONE PNP
NPI 1164815452
Nurse Practitioner - Psychiatric/Mental Health in Flushing, NY

Active since March 10, 2015PECOS Enrolled
17115 45TH AVE, FLUSHING, NY 11358(718) 539-8908 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Philip James Malone Pnp NPPES

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

PHILIP JAMES MALONE PNP (NPI 1164815452) is an individual psychiatric/mental health provider in Flushing, New York, licensed in New York (F401747) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164815452
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePHILIP JAMES MALONECredential: PNP
Location Address17115 45TH AVEFlushing, NY 11358-3310
Mailing Address17115 45th AveFlushing, NY 11358-3310 · (718) 539-8908
Sole ProprietorYes
Enumeration DateMarch 10, 2015
✔ NPI 1164815452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F401747
17115 45TH AVE, Flushing, NY 11358

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip James Malone Pnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Philip Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adolescent and Children Mental Health
14015B SANFORD AVE
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11358 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Philip Malone's NPI number?

The NPI number for Philip Malone is 1164815452. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Philip Malone located?

Philip Malone practices at 17115 45th Ave, Flushing, NY 11358. The listed phone number is (718) 539-8908.

What is Philip Malone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Philip Malone enrolled in Medicare?

Yes. Philip Malone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Philip Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Malone reassigns Medicare benefits to 2 organizations: The Child Center Of Ny, Inc. (Flushing, NY) and Downtown Bronx Medical Associates PC (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Malone was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.