Individual provider Active NPI

Anam Malik, M.D.

  • Gastroenterology Physician
  • Bordentown, NJ
National Provider Identifier
1225485188
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA12022600 Issued in NJ
Practice address
100 K Johnson Blvd Ste 201
Bordentown, NJ 08505-2275
Phone
(609) 528-8884
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT211055 PA
Gastroenterology Physician 207RG0100X MD477114 PA
Gastroenterology Physician 207RG0100X 25MA12022600 NJ Primary

Addresses

Primary practice location

100 K Johnson Blvd Ste 201
Bordentown, NJ 08505-2275

Mailing address

100 K Johnson Blvd Ste 201
Bordentown, NJ 08505-2275
Phone (609) 528-8884

Other practice location 1

1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309
Phone (610) 821-2828

Other practice location 2

3 Penns Trl Fl 2
Newtown, PA 18940-1812
Phone (609) 285-8884

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address anam.malik.1@12833.direct.athenahealth.com Direct
Direct Messaging Address anam.malik.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20220607000046 PA Practitioner - Gastroenterology 4082904800 Reassigns benefits to 3 organizations
I20240712001569 NJ Practitioner - Gastroenterology 4082904800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

100 K Johnson Blvd N
2ND Floor
Bordentown, NJ 08505-4713
Phone (609) 528-8884

3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy47
Upper gastrointestinal (GI) endoscopy for acid reflux29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT211055PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Eastern Pennsylvania Gastroenterology & Liver Specialists P C Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Family Care Centers Inc Internal Medicine CurrentSince Aug 29, 2022 Accepting new patients
Family Care Centers Inc. Internal Medicine CurrentSince Aug 29, 2022 Accepting new patients

Locations

100 K Johnson Blvd
Fl 2
Bordentown, NJ 08505
Phone (609) 303-4300

100 K Johnson Blvd
Ste 201
Bordentown, NJ 08505
Phone (609) 528-8884

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1501 N Cedar Crest Blvd
Ste 110
Allentown, PA 18104
Phone (610) 821-2828

175 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3401

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

3701 Corriere Rd
Ste 17
Easton, PA 18045
Phone (610) 821-2828

3 Penns Trl
Ste 2
Newtown, PA 18940
Phone (609) 303-4460

3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • Direct secure messaging: anammalik@epgi.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anam.malik.1@12833.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1225485188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD STE 201",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-528-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD STE 201",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-528-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Cedar Crest Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181042309",
            "country_code": "US",
            "telephone_number": "610-821-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Penns Trl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401812",
            "country_code": "US",
            "telephone_number": "609-285-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ANAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT211055",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD477114",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA12022600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anam.malik.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Penns Trl Fl 2",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189401812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anam.malik.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 K Johnson Blvd Ste 201",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.