Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anatoly Maloletkin

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215724539

Anatoly Maloletkin is a Nurse Practitioner in Fort Lee, New Jersey. Qualified in 2024, 2 years ago. Practices with Tri America Tmsketa LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025

Practice location Address checks out

2185 Lemoine Ave Ste 1H
Fort Lee, NJ 07024-6030
Phone: (888) 701-6472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15306000 (NJ)

Record details

NPI number1215724539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address2185 Lemoine Ave Ste 1h, Fort Lee, NJ 07024-6030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tri America Tmsketa Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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