Active NPI
Faisal Mahmood Malik, NP
- Adult Health Nurse Practitioner
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 306861
- Practice address
- 300 Community Dr
Manhasset, NY 11030 - Phone
- (347) 255-1903
- NPI assigned
- Apr 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 306861 | NY | Primary |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030
Mailing address
11350 McCormick Rd Ste 501
Hunt Valley, MD 21031-1002
Phone (410) 329-1071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- New York University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W Main St
Suite C
Babylon, NY 11702-3439
Phone (631) 206-1034
Hospital & facility affiliations
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.52 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306861 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Pain Consultants LLC | Current | Accepting new patients | |
| New York Pain Consultants LLC | Current | Accepting new patients | |
| New York Pain Consultants, LLC | Past | Accepting new patients |
Locations
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
500 W Main St
Ste 116
Babylon, NY 11702
100 W Main St
Ste C
Babylon, NY 11702
Phone (631) 206-1034
8 Saxon Ave
Ste E
Bay Shore, NY 11706
Phone (631) 206-1034
550 Mamaroneck Ave
Ste 503
Harrison, NY 10528
Phone (914) 346-5200
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- fmalik@nspc.emadirect.md
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Babylon, NY
- NPI 1639190630
-
- Interventional Pain Medicine Physician
- Harrison, NY
- NPI 1528617917
-
- Interventional Pain Medicine Physician
- Bay Shore, NY
- NPI 1437556040
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1114346244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD STE 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311002",
"telephone_number": "410-329-1071",
"fax_number": "410-329-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "347-255-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "FAISAL",
"middle_name": "MAHMOOD",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "306861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.