Individual provider Active NPI

Vicky Naomi Malka, D.D.S

  • Dentist
  • Englewood, NJ
National Provider Identifier
1700265444
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
058593 Issued in NY
Practice address
91 E Linden Ave
Englewood, NJ 07631-3620
Phone
(201) 616-1918
NPI assigned
May 27, 2015
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 058593 NY Primary

Addresses

Primary practice location

91 E Linden Ave
Englewood, NJ 07631-3620

Mailing address

91 E Linden Ave
Englewood, NJ 07631-3620
Phone (201) 616-1918

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
058593NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1700265444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E LINDEN AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313620",
            "telephone_number": "201-616-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E LINDEN AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313620",
            "telephone_number": "201-616-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKA",
        "first_name": "VICKY",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.