Susan Malitzky, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA09131700 Issued in NJ

Practice address

145 Main Ave
Suite 203
Passaic, NJ 07055-5452

Phone

(973) 591-1600

Fax

(973) 591-1605

NPI assigned

Dec 15, 2009

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.malitzky@advocaredoctors.eclinicaldirectplus.com

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Advocare

  dba South Jersey Occupational Medicine

  • Occupational Medicine Physician
  • Williamstown, NJ
  • NPI 1073785655
  NPD (past)
• Riverside Medical Group

  • Nurse Practitioner
  • Secaucus, NJ
  • NPI 1053867598
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1548599822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAIN AVE",
            "address_2": "SUITE 203",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555452",
            "telephone_number": "973-591-1600",
            "fax_number": "973-591-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAIN AVE",
            "address_2": "SUITE 203",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555452",
            "telephone_number": "973-591-1600",
            "fax_number": "973-591-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALITZKY",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09131700",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "259436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Lussier, LCSW
• M D Health Care LLC
• Main RX Pharmacy LLC
• Main RX Super Pharmacy Inc
• Danial Malik, MD
• Nancy Malone, LCSW
• Gerly S Manabat
• Allison Deborah Mandel-Giampietro
• Yardena Mandel
• Batsheva Mandelbaum, BCBA

• Pediatrics Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.