Individual provider Active NPI

Nimrah Sehrish Malik, O.D

  • Optometrist
  • East Hanover, NJ
National Provider Identifier
1245662444
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00648900 Issued in NJ
Practice address
389 NJ-10
East Hanover, NJ 07936
Phone
(973) 781-0800
NPI assigned
Jul 30, 2013
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00648900 NJ Primary

Addresses

Primary practice location

389 NJ-10
East Hanover, NJ 07936

Mailing address

5 Arlyne Dr
Somerville, NJ 08876-1442
Phone (848) 219-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140410001681 NJ Practitioner - Optometry 2365674017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

389 State Route 10
East Hanover, NJ 07936-3564
Phone (973) 781-0800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33560CAMDMarriage & Family Therapist
27OA00648900NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Jun 15, 2019 Accepting new patients
Total Vision Care of East Hanover, LLC Optometrist CurrentSince Feb 13, 2024 Accepting new patients
Optometric Physicians of Middletown PA Optometrist CurrentSince Jun 15, 2019 Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients

Locations

389 State Route 10
Ste 1
East Hanover, NJ 07936
Phone (973) 781-0800

178 Highway 35
Eatontown, NJ 07724
Phone (732) 475-7535

178 Highway 35
Ste 1
Eatontown, NJ 07724
Phone (732) 542-3050

3013 State Route 35
Hazlet, NJ 07730
Phone (732) 739-4000

786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300

35 Monmouth St
Red Bank, NJ 07701
Phone (732) 530-5151

2204 Highway 35
Ste 1
Sea Girt, NJ 08750
Phone (732) 223-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1245662444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ARLYNE DR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761442",
            "telephone_number": "848-219-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 NJ-10",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-781-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "NIMRAH",
        "middle_name": "SEHRISH",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00648900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.