Jelena Maletkovic
Student in an Organized Health Care Education/Training Program

Address: 1545 Atlantic Ave, Brooklyn, NY 11213-1122
Phone: 7186134000

Jelena Maletkovic (NPI# 1093087504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1093087504
Entity Type Individual
Full Name Jelena Maletkovic
Gender Female
Practice Address 1545 Atlantic Ave
Brooklyn
NY 11213-1122
Practice Telephone 7186134000
Mailing Address 1545 Atlantic Ave
Brooklyn
NY 11213-1122
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-01-30
Last Update Date 2012-01-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Physician Overview

NPI 1093087504
PAC ID by PECOS 6800015157
Professional Enrollment ID I20140918000440
Full Name Jelena Maletkovic
Organization Legal Name UC REGENTS
Phone Number 3104582381
Gender F
Graduation Year 2003
Primary Specialty ENDOCRINOLOGY
Group Practice PAC ID 1355248584
Number of Group Practice Members 835
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050761 PROVIDENCE TARZANA MEDICAL CENTER

Office Location

Street Address 1545 ATLANTIC AVE
City BROOKLYN
State NY
Zip Code 11213-1122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558366575 David R Trauber Internal Medicine 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2005-06-16
1033685284 Hannah Christine Pruzinsky Physician Assistant 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-10-15
1679052450 Olalekan Ifeoluwa Olaolu Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-08-12
1083193304 Muhammad Hassan Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-08-08
1699254185 Mohammed S Khan Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-08-07
1417435009 Peterson Rabel Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-08-06
1063990638 Oluwaseun Adelola Ogunsakin Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-08-05
1245718923 Karimeldin Awad Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-08-03
1659859627 Ayesha Mahbub Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213-1122 2018-08-01
1164900205 Olusegun Adebisi Popoola Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave, Brooklyn, NY 11213 2018-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073097572 Mariia Tonkonog Specialist 878 Easetern Pkwy, Brooklyn, NY 11213 2018-09-20
1114413234 Rimma Salganik Social Worker Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 2018-07-02
1861980138 Ibrahim Elkattawy Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 2018-04-23
1356854699 Lisa Watler Physical Therapy Assistant 1470 Union Street, Brooklyn, NY 11213 2017-11-08
1962914713 Rockaway Ave Pharmacy Inc Pharmacist 226 Schenectady Ave, Brooklyn, NY 11213 2017-11-02
1649796152 Janet Agbaku Registered Nurse 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 2017-08-16
1174059794 Frances Adams Licensed Practical Nurse 1484 Sterling Pl, D5, Brooklyn, NY 11213 2017-05-02
1447783394 Marline Gourdet Licensed Practical Nurse 1690 President St F4, Brooklyn, NY 11213 2017-04-07
1588109060 Belzie Andre Home Health 1564 Pacific Street, 4r, Brooklyn, NY 11213 2016-12-20
1811444359 Glynis Williams Occupational Therapy Assistant 1460 Sterling Pl. Apt 2f, Brooklyn, NY 11213 2016-09-01
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184196578 Vinod Rajan Student in an Organized Health Care Education/Training Program 760 Broadway Rm 2c319, Brooklyn, NY 11206-5317 2018-12-22
1487126959 Hira Faisal Student in an Organized Health Care Education/Training Program 760 Broadway # 2c319, Brooklyn, NY 11206-5317 2018-12-21
1205307154 Moe Myat Tun Student in an Organized Health Care Education/Training Program 1 Brookdale Plz, Brooklyn, NY 11212-3139 2018-12-17
1508338476 Monica A Hendrix Student in an Organized Health Care Education/Training Program 41 Prospect Park Sw Apt 3b, Brooklyn, NY 11215-5924 2018-12-17
1881165900 Barbara Jeudy Student in an Organized Health Care Education/Training Program 2525 Kings Hwy, Brooklyn, NY 11229-1705 2018-12-16
1376014886 Noelia I Richardson Student in an Organized Health Care Education/Training Program 345 Dumont Ave Apt 5e, Brooklyn, NY 11212-6145 2018-12-10
1023588704 Caroline A Woods Student in an Organized Health Care Education/Training Program 11 Fuller Pl, Brooklyn, NY 11215-6006 2018-11-26
1306311618 Viknorina Care Inc Student in an Organized Health Care Education/Training Program 1746 71st St, Brooklyn, NY 11204-5225 2018-10-12
1063987170 Jennifer Massre Student in an Organized Health Care Education/Training Program 400 Empire Blvd, Brooklyn, NY 11225-3202 2018-10-05
1962977041 Alejandra Chavez Student in an Organized Health Care Education/Training Program 760 Broadway Fl 5, Brooklyn, NY 11206-5317 2018-10-04
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Competitor

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City BROOKLYN
Zip Code 11213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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