Individual provider Active NPI

Anuj Malik

  • Neonatal-Perinatal Medicine Physician
  • Johnstown, PA
National Provider Identifier
1427332980
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD459205 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905
Phone
(814) 534-9688
Fax
(814) 534-3479
NPI assigned
Oct 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD459205 PA
Neonatal-Perinatal Medicine Physician 2080N0001X MD459205 PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9688

Other practice location 1

1 Medical Center Drive
Morgantown, WV 26506-9214
Phone (304) 293-1224

Other practice location 2

1 Medical Center Drive
Morgantown, WV 26506-9214
Phone (304) 293-1224

Other identifiers 1

IdentifierTypeStateIssuer
1033070960001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220601001183 CT Practitioner - Pediatric Medicine 6103129275 Reassigns benefits to 1 organization
I20220818000715 MA Practitioner - Pediatric Medicine 6103129275 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jun 20, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jun 20, 2022 Accepting new patients
Mercy Inpatient Medical Associates Inc. Pediatrics CurrentSince Aug 1, 2022 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

Interoperability endpoints

  • Direct secure messaging: amalik2389430@direct.trinity-health.org

Organizations & group practices 3

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": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1427332980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9688",
            "fax_number": "814-534-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-534-9688",
            "fax_number": "814-534-3479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Drive",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265069214",
            "country_code": "US",
            "telephone_number": "304-293-1224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Drive",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265069214",
            "country_code": "US",
            "telephone_number": "304-293-1224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ANUJ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD459205",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD459205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033070960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.