LARISA MALISOVA DO NPI 1861448896

NPI Information

  • NPI: 1861448896
  • Provider Name: LARISA MALISOVA, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 LYNDALE AVE
    STATEN ISLAND, NY
    ZIP 10312
  • Phone: (718) 967-5630

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NPI Details

Larisa Malisova, DO is a general practice in Staten Island, NY with 24 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Larisa Malisova, DO NPI is 1861448896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2002

The provider's business location address is:

420 LYNDALE AVE
STATEN ISLAND, NY
ZIP 10312-131
Phone: (718) 967-5630

The NPI 1861448896 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)

The enumeration date for this NPI number is 5/25/2006 and was last updated on 5/28/2010.

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
1208D00000XGeneral Practice234484NEW YORKYes

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

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