Lauren N Abdul-Malak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA060287 Issued in PA

Practice address

1245 Highland Ave Ste 404
Abington, PA 19001-3725

Phone

(215) 887-2010

NPI assigned

Sep 5, 2018

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Liegl Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

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  • NPI 1871535476
  NPD (past)
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  • Obstetrics & Gynecology Physician
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  • NPI 1750880118
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• United Anesthesia Services PC

  • Anesthesiology Physician
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  • NPI 1053366062
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1083196117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "856-669-6050",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE STE 404",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013725",
            "telephone_number": "215-887-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 N Hermitage Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161483278",
            "country_code": "US",
            "telephone_number": "724-347-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Valley Green Ln Ste 620",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062080",
            "country_code": "US",
            "telephone_number": "215-887-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 E Marshall St Ste 205",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804455",
            "country_code": "US",
            "telephone_number": "215-887-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Middletown Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471863",
            "country_code": "US",
            "telephone_number": "215-887-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2591 Baglyos Cir Ste C46",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180208043",
            "country_code": "US",
            "telephone_number": "215-887-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 Pennsylvania Ave Ste 202B",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190343420",
            "country_code": "US",
            "telephone_number": "215-887-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 Sumneytown Pike Ste 190",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194464882",
            "country_code": "US",
            "telephone_number": "215-887-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDUL-MALAK",
        "first_name": "LAUREN",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.abdulmalak@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1245 Highland Ave Ste 404",
            "city": "Abington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190013725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LIEGL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kiarah Abdul-Rahim
• Tala Abedalqader
• Kansho Abiko, MD
• Abington Dental Excellance
• Abington Emergency Physician Associates PC

• Physician Assistant in Abington, PA
• Providers in Abington, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.