Mahlik Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01216100 Issued in NJ

Practice address

1-35B 14TH Ave
Elmwood Park, NJ 07407-2987

Phone

(201) 923-8081

NPI assigned

Dec 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Creating Communication & Connections

  • Hearing and Speech Clinic/Center
  • Elmwood Park, NJ
  • NPI 1740057579
  NPD Authorized official

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1477320208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1-35B 14TH AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072987",
            "telephone_number": "201-923-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1-35B 14TH AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072987",
            "telephone_number": "201-923-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MAHLIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01216100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creating Communication & Connections
• Ralph Waldo Cuartero, PT
• Curalta Medical LLC
• Jon Paul Dadaian, M.D.
• Steven H Dane, M.D.
• Laura Del Corso, RPH
• Arlene Del Rosario, PHARMD
• Direct Emergency Medical Services LLC
• Kelly Distefano, M.D.
• Thomas Dodd, L.C.A.D.C., C.S.W.

• Speech-Language Pathologist in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.