Individual provider Active NPI

Roheena Mariam Malik, OD

  • Optometrist
  • Piscataway, NJ
National Provider Identifier
1356924146
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00702200 Issued in NJ
Practice address
1100 Centennial Ave Ste 204
Piscataway, NJ 08854-4152
Phone
(732) 313-2570
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00702200 NJ Primary

Addresses

Primary practice location

1100 Centennial Ave Ste 204
Piscataway, NJ 08854-4152

Mailing address

1100 Centennial Ave Ste 204
Piscataway, NJ 08854-4152
Phone (732) 313-2570

Other practice location 1

1688 Route 22 E
Watchung, NJ 07069-6508
Phone (908) 322-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003406 NJ Practitioner - Optometry 4789126400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27OA00702200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
In Focus Vision Optometrist CurrentSince Apr 14, 2024 Accepting new patients

Locations

1100 Centennial Ave
Ste 204
Piscataway, NJ 08854
Phone (732) 313-2570

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1356924146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE STE 204",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "732-313-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE STE 204",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "732-313-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1688 Route 22 E",
            "address_purpose": "LOCATION",
            "city": "Watchung",
            "state": "NJ",
            "postal_code": "070696508",
            "country_code": "US",
            "telephone_number": "908-322-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ROHEENA",
        "middle_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00702200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.