Active NPI
Samy Malek, DMD
- Dentist
- Glen Mills, PA
National Provider Identifier
1275262172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043611
- Practice address
- 1751 Wilmington Pike
Suite F2
Glen Mills, PA 19342 - Phone
- (484) 309-5055
- NPI assigned
- Jun 7, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS043611 | PA | Primary |
Addresses
Primary practice location
1751 Wilmington Pike
Suite F2
Glen Mills, PA 19342
Mailing address
100 Old York Rd # E314
Jenkintown, PA 19046-3606
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 |
|---|---|---|---|
| DS043611 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1275262172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD YORK RD # E314",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190463606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 WILMINGTON PIKE",
"address_2": "SUITE F2",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "19342",
"telephone_number": "484-309-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK",
"first_name": "SAMY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.