Active NPI
Malik Jamal Williams
- Case Management Agency
- Cambria Heights, NY
National Provider Identifier
1508501115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 220-04 Linden Boulevard
Cambria Heights, NY 11411-1141 - Phone
- (347) 201-0252
- NPI assigned
- Apr 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
220-04 Linden Boulevard
Cambria Heights, NY 11411-1141
Mailing address
220-04 Linden Boulevard
Cambria Heights, NY 11411-6261
Phone (718) 712-3358
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1508501115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220-04 LINDEN BOULEVARD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114116261",
"telephone_number": "718-712-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220-04 LINDEN BOULEVARD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111141",
"telephone_number": "347-201-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MALIK",
"middle_name": "JAMAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-28",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "1880 Bathgate Ave Apt 312",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104576261",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.