Individual provider Active NPI

Ankit Malik, D.O. M.B.A.

  • Adult Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1023436433
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
25MB09991700 Issued in NJ
Practice address
44 Village CT
Hazlet, NJ 07730-1535
Phone
(732) 540-7748
Fax
(732) 402-8961
NPI assigned
Apr 2, 2014
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 25MB09991700 NJ Primary

Addresses

Primary practice location

44 Village CT
Hazlet, NJ 07730-1535

Mailing address

44 Village CT
Hazlet, NJ 07730-1535
Phone (732) 540-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171129000945 NJ Practitioner - Family Practice 6305103367 Reassigns benefits to 3 organizations
I20201123001732 CA Practitioner - Family Practice 6305103367 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA CurrentSince Jul 1, 2020 Accepting new patients
24 On Physicians of California, PC CurrentSince Nov 1, 2020 Accepting new patients

Locations

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

65 James St
Edison, NJ 08820
Phone (732) 321-7010

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1023436433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301535",
            "telephone_number": "732-540-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301535",
            "telephone_number": "732-540-7748",
            "fax_number": "732-402-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ANKIT",
        "name_prefix": "Dr.",
        "credential": "D.O. M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MB09991700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.