NPIMap

Organization Active NPI

Amir a Malik MD PA

  • Nephrology Physician
  • East Palatka, FL
National Provider Identifier
1285969295
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME50791 Issued in FL
Legal business name
AMIR A MALIK MD PA
Practice address
199 S US Highway 17
East Palatka, FL 32131-6071
Phone
(386) 312-0556
Fax
(386) 326-3971
NPI assigned
Oct 8, 2009
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
AMIR A MALIK MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Amir A Malik, MDNPI 1386749505
Title
Owner
Phone
(904) 829-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME50791 FL Primary

Addresses

Primary practice location

199 S US Highway 17
East Palatka, FL 32131-6071

Mailing address

PO Box 1779
St Augustine, FL 32085-1779
Phone (386) 312-0556

Other identifiers 1

IdentifierTypeStateIssuer
39898OtherFLBCBS

National Provider Directory

National Provider Directory
Tax ID family
Amir a Malik MD PA3 organizations share this tax ID, including this one
Part of
Amir a Malik MD PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1285969295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1779",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320851779",
            "telephone_number": "386-312-0556",
            "fax_number": "386-326-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S US HIGHWAY 17",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321316071",
            "telephone_number": "386-312-0556",
            "fax_number": "386-326-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR A MALIK MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMIR A MALIK MD PA",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-829-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME50791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.