Active NPI
Dipakkumar Purushottam Malli, MD
- Sleep Medicine (Internal Medicine) Physician
- Cherry Hill, NJ
National Provider Identifier
1265410831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 25MA07352400
- Practice address
- 140 E Evesham Rd
Cherry Hill, NJ 08003-3949 - Phone
- (856) 427-4477
- Fax
- (856) 427-9199
- NPI assigned
- Jan 4, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA07352400 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA07352400 | NJ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 25MA07352400 | NJ | Primary |
Addresses
Primary practice location
140 E Evesham Rd
Cherry Hill, NJ 08003-3949
Mailing address
1416 Spruce Ave
Voorhees, NJ 08043-3649
Phone (609) 471-1000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07352400 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Health Resources Clinical Staffing Solutions PC | Past | Accepting new patients | |
| Staten Island Medical Intensivist PC | Critical Care Medicine | Past | Accepting new patients |
| Anu Sampat M.D. P.C. | Past | Accepting new patients | |
| Clinical Staffing Solutions P.C. | Past | Accepting new patients | |
| Hera Inpatient Services | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Cherry Hill, NJ
- NPI 1275550923
-
- Internal Medicine Physician
- Somers Point, NJ
- NPI 1760511240
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1356584353
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1487684114
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1225067424
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1275564841
Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1265410831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 SPRUCE AVE",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433649",
"telephone_number": "609-471-1000",
"fax_number": "856-427-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E EVESHAM RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033949",
"telephone_number": "856-427-4477",
"fax_number": "856-427-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLI",
"first_name": "DIPAKKUMAR",
"middle_name": "PURUSHOTTAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA07352400",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA07352400",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NJ",
"license": "25MA07352400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.