Individual provider Active NPI

Rabia N Malik, MD

  • Family Medicine Physician
  • New Milford, NJ
National Provider Identifier
1578090411
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10898900 Issued in NJ
Practice address
810 River Rd
New Milford, NJ 07646-3014
Phone
(201) 855-8495
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F307438 NY
Student in an Organized Health Care Education/Training Program 390200000X 125070513 IL
Family Medicine Physician 207Q00000X 307438 NY
Family Medicine Physician 207Q00000X 25MA10898900 NJ Primary

Addresses

Primary practice location

810 River Rd
New Milford, NJ 07646-3014

Mailing address

810 River Rd
New Milford, NJ 07646-3014
Phone (018) 558-4952

Other identifiers 1

IdentifierTypeStateIssuer
0896071MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201117000564 NY Practitioner - Family Practice 7315207610 Reassigns benefits to 1 organization
I20230315000436 NJ Practitioner - Family Practice 7315207610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

810 River Rd
New Milford, NJ 07646-3014
Phone (201) 855-8495

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10898900NJMDFamily Medicine Physician
F307438NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc Current Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Oct 26, 2020 Accepting new patients
Nes Georgia Inc CurrentSince Dec 20, 2022 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Dec 4, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 26, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

810 River Rd
New Milford, NJ 07646
Phone (201) 855-8495

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

680 Kinderkamack Rd
Ste 204
Oradell, NJ 07649
Phone (201) 261-9445

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

55 Water St
Fl 2
New York, NY 10041

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1578090411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463014",
            "telephone_number": "018-558-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463014",
            "telephone_number": "201-855-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "RABIA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F307438",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125070513",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "307438",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10898900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896071",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

Verify at the official NPI Registry.