Malla Practitioner Network, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MALLA PRACTITIONER NETWORK, LLC

Practice address

101 Hudson St FL 21
Jersey City, NJ 07302-3929

Phone

(203) 580-3591

NPI assigned

May 23, 2025

Last updated

May 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gal Moshe

Title

Owner

Phone

(818) 331-8382

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1033902085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HUDSON ST FL 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023929",
            "telephone_number": "203-580-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HUDSON ST FL 21",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023929",
            "telephone_number": "203-580-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLA PRACTITIONER NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "MOSHE",
        "authorized_official_first_name": "GAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-331-8382"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khurram Saleem Malik, M.D
• Mohammad Malik
• Rabia Malik, M.D.
• Tayyaba K Malik, M.D.
• Yekaterina Malinskaya, PHARMD
• Malla Ventures, Inc.
• Kathryn Malone, LCSW
• Nicholas Anthony Maltese, DPT
• Barry A. Maltzman, M.D.
• Maria Theresa Mamauag

• Registered Dietitian in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.