Individual provider Active NPI

Deepika Malik

  • Retina Specialist (Ophthalmology) Physician
  • Woodbury, NY
National Provider Identifier
1134530306
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
316968 Issued in NY
Practice address
135 Crossways Park Dr Ste 101
Woodbury, NY 11797-2005
Phone
(516) 822-3911
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 316968 NY Primary

Addresses

Primary practice location

135 Crossways Park Dr Ste 101
Woodbury, NY 11797-2005

Mailing address

825 E Gate Blvd Ste 111
Garden City, NY 11530-2136

Other identifiers 2

IdentifierTypeStateIssuer
07241569MedicaidNY
1134530306MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140729000719 PA Practitioner - Ophthalmology 9931325941 Reassigns benefits to 1 organization
I20230331000713 NY Practitioner - Ophthalmology 9931325941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

330 Old Country Rd
Suite 100
Mineola, NY 11501-4143
Phone (516) 739-6600

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
85
Promoting interoperability
94
Improvement activities
40
Cost
62.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Current Accepting new patients
Drexel University CurrentSince Aug 2, 2017 Accepting new patients
Drexel University CurrentSince Aug 2, 2017 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology PastSince Jul 28, 2024 Accepting new patients
Filutowski Eye Institute PA PastSince Nov 1, 2016 Accepting new patients

Locations

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

3127 41st St
#13292
Astoria, NY 11103

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737

2860 Long Beach Rd
Oceanside, NY 11572
Phone (516) 593-7709

11915 Atlantic Ave
Richmond Hill, NY 11418
Phone (718) 456-0503

2000 N Village Ave
Ste 402
Rockville Ctr, NY 11570
Phone (516) 766-2519

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

135 Crossways Park Dr
Ste 101
Woodbury, NY 11797
Phone (516) 822-3911

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: deepika.malik.p1@direct.ocli.nextgenshare.com
  • Direct secure messaging: dmalik69021@northwell.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1134530306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CROSSWAYS PARK DR STE 101",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972005",
            "telephone_number": "516-822-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "DEEPIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2024-07-26",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "316968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07241569",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134530306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.