MS. CLARICE MAALA N.P. NPI 1205875200

NPI Information

  • NPI: 1205875200
  • Provider Name: MS. CLARICE MAALA, N.P.
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3411 WAYNE AVE
    MONTEFIORE MEDICAL CENTER/ DEPARTMENT OF HEMATOLOGY
    BRONX, NY
    ZIP 10467
  • Phone: (718) 920-6310

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NPI Details

MS. Clarice Maala, N.P. is an adult health nurse practitioner in Bronx, NY with 24 years of experience. MS. Clarice Maala, N.P. NPI is 1205875200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

3411 WAYNE AVE
MONTEFIORE MEDICAL CENTER/ DEPARTMENT OF HEMATOLOGY
BRONX, NY
ZIP 10467-509
Phone: (718) 920-6310
Fax: (718) 882-8698

The NPI 1205875200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 1/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyF340561NEW YORKNo
2363LA2200XNurse PractitionerAdult Health303709NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11369G1MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
202685812MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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