Individual provider Active NPI

Jonathan M Malka, MD

  • Pediatric Allergy/Immunology Physician
  • North Miami Beach, FL
National Provider Identifier
1558532275
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
ME107408 Issued in FL
Practice address
1728 NE Miami Gardens Dr Ste 3242
North Miami Beach, FL 33179-5301
Phone
(305) 741-5055
Fax
(305) 317-5239
NPI assigned
Mar 20, 2008
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME107408 FL
Pediatric Allergy/Immunology Physician 2080P0201X ME107408 FL Primary

Addresses

Primary practice location

1728 NE Miami Gardens Dr Ste 3242
North Miami Beach, FL 33179-5301

Mailing address

1728 NE Miami Gardens Dr Ste 3242
North Miami Beach, FL 33179-5301
Phone (305) 741-5055

Other identifiers 2

IdentifierTypeStateIssuer
003703500MedicaidFL
27608875MedicaidCO

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107408FLMDPediatric Allergy/Immunology Physician

Interoperability endpoints

  • Direct secure messaging: jmalka@pa.trimed.direct-ci.com
  • Direct secure messaging: jonathan.malka@302934149496836.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1558532275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 NE MIAMI GARDENS DR STE 3242",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-741-5055",
            "fax_number": "305-488-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 NE MIAMI GARDENS DR STE 3242",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795301",
            "telephone_number": "305-741-5055",
            "fax_number": "305-317-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKA",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME107408",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "FL",
            "license": "ME107408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003703500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27608875",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.