Active NPI
Mahjabeen Malik, M.D.
- Pediatrics Physician
- Valley Stream, NY
National Provider Identifier
1487069431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 144894
- Practice address
- 101 Fletcher Ave
Valley Stream, NY 11580-4048 - Phone
- (516) 561-1457
- NPI assigned
- Jun 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 144894 | NY | Primary |
| General Practice Physician | 208D00000X | 144894 | NY |
Addresses
Primary practice location
101 Fletcher Ave
Valley Stream, NY 11580-4048
Mailing address
101 Fletcher Ave
Valley Stream, NY 11580-4048
Phone (516) 561-1457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00665343 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144894 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404000000000",
"number": "1487069431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 FLETCHER AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804048",
"telephone_number": "516-561-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FLETCHER AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804048",
"telephone_number": "516-561-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "MAHJABEEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-29",
"last_updated": "2014-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "144894",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "144894",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00665343",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.