Active NPI
Malik Spine LLC
- Interventional Pain Medicine Physician
- North Miami Beach, FL
National Provider Identifier
1629849914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Interventional Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121919100 | Medicaid | FL | |
| M82MP | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.