Active NPI
Jawad a. Malik, D.P.M., P.a.
- Foot & Ankle Surgery Podiatrist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO 3628
- Legal business name
- JAWAD A. MALIK, D.P.M., P.A.
- Practice address
- 710 Governors Ave
Orlando, FL 32808-7640 - Phone
- (407) 913-3965
- NPI assigned
- Jan 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jawad Abdul Malik, DPM
- Title
- Presdient
- Phone
- (407) 913-3965
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3628 | FL | Primary |
Addresses
Primary practice location
710 Governors Ave
Orlando, FL 32808-7640
Mailing address
710 Governors Ave
Orlando, FL 32808-7640
Phone (407) 913-3965
Other practice location 1
7758 Wallace Rd Ste 6
Orlando, FL 32819-7217
Phone (407) 913-3965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7758 Wallace Rd
Orlando, FL 32819
Phone (800) 748-2129
7758 Wallace Rd
Ste 7
Orlando, FL 32819
710 Governors Ave
Orlando, FL 32808
Phone (407) 299-9717
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Orlando, FL
- NPI 1225469190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1043600968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 GOVERNORS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087640",
"telephone_number": "407-913-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 GOVERNORS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087640",
"telephone_number": "407-913-3965"
}
],
"practiceLocations": [
{
"address_1": "7758 Wallace Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328197217",
"country_code": "US",
"telephone_number": "407-913-3965",
"fax_number": "407-290-8464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JAWAD A. MALIK, D.P.M., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-30",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "JAWAD",
"authorized_official_middle_name": "ABDUL",
"authorized_official_title_or_position": "PRESDIENT",
"authorized_official_telephone_number": "407-913-3965",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.