Active NPI
Mohammad Malik
- Registered Nurse
- Jersey City, NJ
National Provider Identifier
1255908836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 792535
- Practice address
- 48 Paterson St
Jersey City, NJ 07307-2723 - Phone
- (201) 654-2568
- NPI assigned
- Jun 10, 2021
- Last updated
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 792535 | NY | Primary |
Addresses
Primary practice location
48 Paterson St
Jersey City, NJ 07307-2723
Mailing address
48 Paterson St
Jersey City, NJ 07307-2723
Phone (201) 654-2568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 792535 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1255908836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 PATERSON ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072723",
"telephone_number": "201-654-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 PATERSON ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073072723",
"telephone_number": "201-654-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "MOHAMMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "792535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.