Adnan M. Mallick, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA10886200 Issued in NJ

Practice address

1255 Broad St Ste 104
Bloomfield, NJ 07003-3061

Phone

(973) 707-5632

Fax

(973) 707-7349

NPI assigned

Jun 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Specialty

Ophthalmology

Education

State University of New York Downstate Medical Center, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as group

Quality

96.31

Promoting interoperability

100

Improvement activities

40

Cost

73.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• Eye Centers of America, LLC

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD
• Ny Retina Eye Care, PLLC

  • Ophthalmology Physician
  • Suffern, NY
  • NPI 1285418079
  Medicare reassignment NPD
• Shalom Kieval MD PC

  • Ophthalmology Physician
  • Latham, NY
  • NPI 1821316928
  Medicare reassignment NPD
• Eye Centers of America, LLC

  • Optometrist
  • Bloomfield, NJ
  • NPI 1346873320
  NPD (past)
• Palisade Eye Associates,P.C.

  • Ophthalmology Physician
  • Jersey City, NJ
  • NPI 1770664971
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1437597366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703112",
            "telephone_number": "973-987-3380",
            "fax_number": "866-806-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST STE 104",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033061",
            "telephone_number": "973-707-5632",
            "fax_number": "973-707-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Kennedy Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473483",
            "country_code": "US",
            "telephone_number": "201-766-5151",
            "fax_number": "201-766-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074703112",
            "country_code": "US",
            "telephone_number": "973-987-3380",
            "fax_number": "973-987-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 Teaneck Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664858",
            "country_code": "US",
            "telephone_number": "201-871-3414",
            "fax_number": "201-871-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Morris Ave Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837170",
            "country_code": "US",
            "telephone_number": "908-312-1001",
            "fax_number": "908-312-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Franklin Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461160",
            "country_code": "US",
            "telephone_number": "201-962-9396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "ADNAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "277002",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA10886200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA10886200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magna Vita Rehab and Wellness
• Frouzandeh Mahdi, DMD
• Lawrence Farid Mahdi, M.D.
• Jacques F Maitre, LCSW
• Majestic Healthcare Services LLC
• Tanja Malone
• Kristina Camille P Manapat
• Maryse Manasse, DMD
• Anthony Nicholas Mancino, D.C.
• Cynthia Mandarakas, C.O.T.A.

• Ophthalmology Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.