ANATOLY MALOLETKIN
NPI 1215724539
Nurse Practitioner - Psychiatric/Mental Health in Fort Lee, NJ

Active since April 21, 2025PECOS EnrolledAccepts Medicare Assignment
2185 LEMOINE AVE STE 1H, FORT LEE, NJ 07024(888) 701-6472 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anatoly Maloletkin NPPES

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

ANATOLY MALOLETKIN (NPI 1215724539) is an individual psychiatric/mental health provider in Fort Lee, New Jersey, licensed in New Jersey (26NJ15306000) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215724539
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANATOLY MALOLETKIN
Location Address2185 LEMOINE AVE STE 1HFort Lee, NJ 07024-6030
Mailing Address2185 Lemoine Ave Ste 1hFort Lee, NJ 07024-6030 · (888) 701-6472
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1215724539 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 NJ · 26NJ15306000
2185 LEMOINE AVE STE 1H, Fort Lee, NJ 07024

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anatoly Maloletkin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799202321
PECOS Enrollment IDI20250507002537
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 07024 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 2

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

Social Worker
2185 LEMOINE AVE STE 1H
FORT LEE, NJ 07024
Nurse Practitioner (Psychiatric/Mental Health)
2185 LEMOINE AVE STE 1H
FORT LEE, NJ 07024

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 Anatoly Maloletkin's NPI number?

The NPI number for Anatoly Maloletkin is 1215724539. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Anatoly Maloletkin located?

Anatoly Maloletkin practices at 2185 Lemoine Ave Ste 1H, Fort Lee, NJ 07024. The listed phone number is (888) 701-6472.

What is Anatoly Maloletkin's specialty?

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

Is Anatoly Maloletkin enrolled in Medicare?

Yes. Anatoly Maloletkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anatoly Maloletkin was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.