NPIMap

Organization Active NPI

Umair Moiz Malik MD PC

  • Nephrology Physician
  • Thorndale, PA
National Provider Identifier
1144986969
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
UMAIR MOIZ MALIK MD PC
Practice address
3149 Lincoln Hwy
Thorndale, PA 19372-1129
Phone
(610) 384-4100
Fax
(610) 441-7588
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Umair Moiz Malik, MD
Title
Owner
Phone
(610) 384-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

3149 Lincoln Hwy
Thorndale, PA 19372-1129

Mailing address

3149 Lincoln Hwy
Thorndale, PA 19372-1129
Phone (610) 384-4100

Other names 1

  • Brandywine Medical and Kidney Specialist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000472 PA Part B Supplier - Clinic/Group Practice 3678750411 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Thorndale, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Federal City Rd
Ste C103
Lawrenceville, NJ 08648
Phone (609) 883-1700

3628 Lincoln Hwy
Thorndale, PA 19372
Phone (610) 384-1303

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1144986969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721129",
            "telephone_number": "610-384-4100",
            "fax_number": "610-441-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721129",
            "telephone_number": "610-384-4100",
            "fax_number": "610-441-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMAIR MOIZ MALIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "UMAIR",
        "authorized_official_middle_name": "MOIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-384-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Medical and Kidney Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandywine Medical and Kidney Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thorndale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.