ANATOLY MALOLETKIN
NPI 1215724539
Nurse Practitioner - Psychiatric/Mental Health in Fort Lee, NJ
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Anatoly Maloletkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Lee, NJ 07024
- Reassigned Medicare billing, New Jersey enrollment
- 5 clinicians in this Medicare group
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 33 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 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.
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.
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.
Which organizations bill Medicare for Anatoly Maloletkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anatoly Maloletkin reassigns Medicare benefits to 2 organizations: Tri America Tmsketa (Fort Lee, NJ) and Bridgecare Provider Group LLC (Wayne, NJ). 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 Anatoly Maloletkin'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 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 18 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.
# Anatoly Maloletkin · NPI 1215724539
Psychiatric/Mental Health physician in Fort Lee, New Jersey. Individual provider, active in the CMS NPPES registry since April 21, 2025.
## Identity
- **NPI:** 1215724539 (Entity type: Individual)
- **Enumerated:** April 21, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15306000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 2185 LEMOINE AVE STE 1H, Fort Lee, NJ 07024-6030
- **Phone:** (888) 701-6472
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tri America Tmsketa (NPI 1417612250, Fort Lee, NJ); Bridgecare Provider Group LLC (NPI 1164148672, Wayne, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1215724539) · Data from the CMS NPPES public registry.