Organization Active NPI

Malik Spine LLC

  • Interventional Pain Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1629849914
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MALIK SPINE LLC
Practice address
1380 NE Miami Gardens Dr Ste 155
North Miami Beach, FL 33179-4747
Phone
(305) 902-1663
Fax
(305) 901-6238
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Dr. Ali Malik, DO
Title
Owner Physican
Phone
(305) 761-6850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr Ste 155
North Miami Beach, FL 33179-4747

Mailing address

1380 NE Miami Gardens Dr Ste 155
North Miami Beach, FL 33179-4747

Other identifiers 2

IdentifierTypeStateIssuer
121919100MedicaidFL
M82MPOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

2820 NE 214th St
Ste 701
Aventura, FL 33180

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1629849914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 155",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 155",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794747",
            "telephone_number": "305-902-1663",
            "fax_number": "305-901-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIK SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER PHYSICAN",
        "authorized_official_telephone_number": "305-761-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121919100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M82MP",
            "state": "FL"
        }
    ],
    "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 Apr 3, 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.