Aby Malyil, BDS, MDS, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DL15452 Issued in MA

Practice address

Cherry Hill Family Dental
1617 Kings Highway
Cherry Hill, NJ 08034

Phone

(856) 857-0053

NPI assigned

Oct 26, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1003533407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMERCE DR APT 2108",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412928",
            "telephone_number": "405-845-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHERRY HILL FAMILY DENTAL",
            "address_2": "1617 KINGS HIGHWAY",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-857-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Porter Dental Eastpoint",
            "address_2": "8939 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21224",
            "country_code": "US",
            "telephone_number": "978-878-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Community Health Connections",
            "address_2": "14 Manning Avenue",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "01453",
            "country_code": "US",
            "telephone_number": "978-878-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALYIL",
        "first_name": "ABY",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02978800",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044316",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18281",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "DL15452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Sumerna Malik, D.D.S
• Dipakkumar Purushottam Malli, MD
• Susannah Mallon
• Julia Malpass, MS, OTR/L
• Raymond J Malta, DO
• Tia Mancini, M.S. CCC-SLP
• Rechileen S Mandanas, PT
• Christine Manel
• Nicholas Joseph Mangano Jr., DC
• Stephanie Lynn Mangels, PT, DPT

• All providers in Cherry Hill, NJ
• Public Health Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.