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Krystal Maloni, M.D.

Surgery in Philadelphia, PA. Individual provider (NPI-1).

NPI number1144667262
StatusActive
Last updated in NPPESJun 19, 2018

Details

NPI
1144667262
Entity type
Individual (NPI-1)
Name
Krystal Maloni
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 30, 2013
Last updated
Jun 19, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - VASCULAR SURGERY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryLP02862RIYes

Practice location

700 Spruce St Ste 101
Philadelphia, PA 19106

Phone 215-829-5000

Mailing address

593 Eddy St
Providence, RI 02903-4923

Phone 401-444-5180 · Fax 401-444-6681

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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