Sunanda Malik, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02258400 Issued in NJ

Practice address

55 Pemberton Browns Mill Rd
Browns Mills, NJ 08015-3111

Phone

(609) 893-5200

Fax

(609) 893-7271

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255547337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 STOKES RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546427",
            "telephone_number": "732-267-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PEMBERTON BROWNS MILL RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080153111",
            "telephone_number": "609-893-5200",
            "fax_number": "609-893-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SUNANDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02258400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaddeus Lukaszewicz, RPH
• Madp Browns Mills LLC
• Nicholas Vincent Maffetone, PT, DPT, CSCS
• Magoffin Dialysis LLC
• David Maletzky, DO
• Raymond Neil Mancuso, O.D.
• Ryan Scott Mandell, DO
• Vincent F Marano, PHARMD
• Andrew August Martin, MD
• Lauren Jane McCormick, RPH

• Dentist in Browns Mills, NJ
• Providers in Browns Mills, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.