Maly Fenelus, M.D.

Pathology, Anatomic Pathology & Clinical Pathology in New York, NY. Individual provider (NPI-1).

NPI number1760639330

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1760639330
Entity type: Individual (NPI-1)
Name: Maly Fenelus
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Aug 26, 2008
Last updated: Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PATHOLOGY
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 code	Description	License	State	Primary
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	274968	NY	Yes

Practice location

1275 York Ave Bldg S317
New York, NY 10065-6007

Phone 212-639-3116

Mailing address

11729 Union Tpke
Forest Hills, NY 11375-6140

Phone 917-407-8975

Is something wrong?

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.

Other Anatomic Pathology & Clinical Pathology Physician providers in New York, NY

All 312 Anatomic Pathology & Clinical Pathology Physician providers in New York · All 116,115 providers in New York

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check