Sajda Perween Malik, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036526 Issued in CT

Practice address

170 Flanders Rd
Niantic, CT 06357-1208

Phone

(860) 739-7444

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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.

• East Lyme Pediatric Clinic, LLC

  • Primary Care Clinic/Center
  • Niantic, CT
  • NPI 1326265745
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2013.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1144314451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 FLANDERS RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571208",
            "telephone_number": "860-739-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FLANDERS RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571208",
            "telephone_number": "860-739-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SAJDA",
        "middle_name": "PERWEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "036526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Ann Lombardi, O.D.
• Meghan Luoma, PA-C
• Erica L Lussier, FNP
• Carly Melissa Madore, APRN
• Carrie Malarkey, LPCA
• Tarikhusain Malwat I
• Traci M McComiskey, CD, CCE, CCHW, PMH-C
• Bridget A McGregor, RN
• Tammi Marie McGunnigle, O.T.
• Ryne McMullen

• All providers in Niantic, CT
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.