Organization Active NPI

Malika S. de Silva MD. Inc

  • Adolescent Medicine (Family Medicine) Physician
  • Colonia, NJ
National Provider Identifier
1205051604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
MA07781900 Issued in NJ
Legal business name
MALIKA S. DE SILVA MD. INC
Practice address
1503 St Georges Ave
Suite104
Colonia, NJ 07067-3427
Phone
(732) 388-5577
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Malika Shani De Silva, MD
Title
Attending
Phone
(732) 738-3244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X MA07781900 NJ Primary

Addresses

Primary practice location

1503 St Georges Ave
Suite104
Colonia, NJ 07067-3427

Mailing address

1503 St Georges Ave
Suite104
Colonia, NJ 07067-3427
Phone (732) 388-5577

National Provider Directory

National Provider Directory

Locations

1503 Saint Georges Ave
Ste 104
Colonia, NJ 07067
Phone (732) 388-5577

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205051604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 ST GEORGES AVE",
            "address_2": "SUITE104",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "732-388-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 ST GEORGES AVE",
            "address_2": "SUITE104",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "732-388-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIKA S. DE SILVA MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE SILVA",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_middle_name": "SHANI",
        "authorized_official_title_or_position": "ATTENDING",
        "authorized_official_telephone_number": "732-738-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "MA07781900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.