Individual provider Active NPI

Manish Gulshan Malik, MD

  • Cardiovascular Disease Physician
  • Willingboro, NJ
National Provider Identifier
1457555245
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA09320700 Issued in NJ
Practice address
200 Campbell Drive
Suite 115
Willingboro, NJ 08046
Phone
(609) 871-7070
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD442569 PA
Cardiovascular Disease Physician 207RC0000X 25MA09320700 NJ Primary

Addresses

Primary practice location

200 Campbell Drive
Suite 115
Willingboro, NJ 08046

Mailing address

200 Campbell Drive
Suite 115
Willingboro, NJ 08046
Phone (609) 871-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20130720000019 NJ Practitioner - Cardiovascular Disease (Cardiology) 8426299231 Reassigns benefits to 1 organization
I20130812000226 PA Practitioner - Cardiovascular Disease (Cardiology) 8426299231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1338 Bristol Pike
Suite 100
Bensalem, PA 19020-5679
Phone (215) 447-1430

211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264
Phone (609) 463-0800

410 W Linfield Trappe Rd
Suite 100B
Royersford, PA 19468-4295
Phone (610) 569-4345

51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189

605 W State St
Penn Cardiology Media
Media, PA 19063-2620
Phone (610) 566-8688

7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604

777 Township Line Rd
Yardley, PA 19067-5552
Phone (609) 853-6520

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

906 Bethlehem Pike
Erdenheim, PA 19038-7731
Phone (215) 248-1350

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jul 1, 2013 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Cardiovascular Disease CurrentSince Jul 1, 2013 Accepting new patients
Clinical Health Care Associates of New Jersey PC Cardiovascular Disease CurrentSince Jul 1, 2013 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 1, 2013 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Cardiovascular Disease CurrentSince Jul 1, 2013 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients

Locations

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

5000 Dearborn Cir
Ste 100A
Mount Laurel, NJ 08054
Phone (609) 871-7070

155 Medical Center Way
#2
Somers Point, NJ 08244
Phone (609) 365-3100

200 Campbell Dr
Ste 115
Willingboro, NJ 08046
Phone (609) 238-1078

200 Campbell Dr
Ste 107
Willingboro, NJ 08046
Phone (609) 614-3997

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1338 Bristol Pike
Ste 100
Bensalem, PA 19020
Phone (215) 447-1430

1001 Chesterbrook Blvd
Fl 3E
Berwyn, PA 19312

906 Bethlehem Pike
Glenside, PA 19038
Phone (215) 836-2127

605 W State St
Media, PA 19063
Phone (610) 565-8600

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

33 E Chestnut Hill Ave
Lowr
Philadelphia, PA 19118
Phone (215) 248-1350

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

777 Township Line Rd
Fl 1
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1457555245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAMPBELL DRIVE",
            "address_2": "SUITE 115",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "08046",
            "telephone_number": "609-871-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAMPBELL DRIVE",
            "address_2": "SUITE 115",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "08046",
            "telephone_number": "609-871-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MANISH",
        "middle_name": "GULSHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD442569",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09320700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.