Malki Waldman, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

859 Columbus Dr
Teaneck, NJ 07666-6612

Phone

(347) 239-2920

NPI assigned

Mar 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
• HI PPO

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1083473953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 COLUMBUS DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666612",
            "telephone_number": "347-239-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 COLUMBUS DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666612",
            "telephone_number": "347-239-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "MALKI",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalita Wagle, MD
• Sharad Wagle, MD
• Ephrem Wagner, PSYD
• Sari Wagner, DDS
• Nadeem Wain, MD
• Kelsey Waldron, MS, OTR/L
• Walgreen Co
• Walgreen Co
• Walker Nutrition & Wellness, LLC
• Michael Walker, MPH,RD,CDN,ACSM-CPT

• Registered Dietitian in Teaneck, NJ
• Providers in Teaneck, 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 Mar 14, 2024; 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.