Individual provider Active NPI

Khurram Saleem Malik, M.D

  • Adolescent Medicine (Internal Medicine) Physician
  • Jersey City, NJ
National Provider Identifier
1104162767
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
25MA09309800 Issued in NJ
Practice address
126 Terrace Ave
Jersey City, NJ 07307
Phone
(201) 755-1923
NPI assigned
Dec 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA09309800 NJ
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 25MA09309800 NJ Primary

Addresses

Primary practice location

126 Terrace Ave
Jersey City, NJ 07307

Mailing address

126 Terrace Ave
Jersey City, NJ 07307-4149
Phone (201) 755-1923

Other practice location 1

867 Pavonia Ave
Jersey City, NJ 07306-5207
Phone (551) 220-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140102000245 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 5991933624 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

377 Jersey Ave
Suite 410
Jersey City, NJ 07302-4397
Phone (201) 755-1923

Hospital & facility affiliations

  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Aug 15, 2015 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Infectious Disease CurrentSince Nov 30, 2020 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 15, 2015 Accepting new patients
Malik Medical Associates USA Inc Infectious Disease CurrentSince Jun 18, 2019 Accepting new patients
Community Primary Care, PC PastSince May 25, 2025 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

377 Jersey Ave
Ste 410
Jersey City, NJ 07302
Phone (201) 200-0318

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • Direct secure messaging: kmalik45734@epicdirect.rwjbh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFFCDD

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1104162767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TERRACE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074149",
            "telephone_number": "201-755-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 TERRACE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07307",
            "telephone_number": "201-755-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 Pavonia Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073065207",
            "country_code": "US",
            "telephone_number": "551-220-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "KHURRAM",
        "middle_name": "SALEEM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-28",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA09309800",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA09309800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.