Shalini R Mali MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07371500 Issued in NJ

Legal business name

SHALINI R MALI MD LLC

Practice address

206 Claremont Ave
Montclair, NJ 07042-3410

Phone

(973) 746-0009

Fax

(973) 746-7911

NPI assigned

Oct 10, 2012

Organization subpart

No

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

Authorized official

Name

Shalini R Mali, MDNPI 1750473286

Title

Owner

Phone

(973) 746-0009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAIAAA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shalini R Mali, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1750473286
  Medicare reassignment NPD Authorized official
• Carly Thompson, LCSW

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1609410190
  NPD (past)

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1578815858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CLAREMONT AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423410",
            "telephone_number": "973-746-0009",
            "fax_number": "973-746-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CLAREMONT AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423410",
            "telephone_number": "973-746-0009",
            "fax_number": "973-746-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALINI R MALI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "MALI",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-746-0009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07371500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reesha Patel Shah, D.M.D
• Nancy Shahata
• Zabi Z Shahsamand, M.D.
• Momina Shahzad, MD
• Roseann Tuchman Shaiman
• Renee Shand-Lubbers, LPC
• E Noach Shapiro, LCSW
• Claire Diane Sharkey, LCSW
• Jaya Sharma
• Joanna O Sharp, NP

• Internal Medicine Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.