Active NPI
Neveen Malik, D.O
- Pulmonary Disease Physician
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MB08983300
- Practice address
- 900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358 - Phone
- (844) 542-2273
- Fax
- (856) 553-4390
- NPI assigned
- Aug 5, 2007
- Last updated
- Feb 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB08983300 | NJ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MB08983300 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | OS 11895 | FL | |
| Pulmonary Disease Physician | 207RP1001X | 25MB08983300 | NJ | Primary |
Addresses
Primary practice location
900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358
Mailing address
900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358
Phone (844) 542-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007984900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Michigan State University College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 513-4124
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08983300 | NJ | MD | Critical Care Medicine (Internal Medicine) Physician |
| OS 11895 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group Practice P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Internal Medicine | Current | Accepting new patients |
| Kennedy Medical Group Practice PC | Current | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
900 Medical Center Dr
Ste 201
Sewell, NJ 08080
Phone (856) 218-2100
900 Medical Center Dr
Ste 205
Sewell, NJ 08080
Phone (856) 557-5400
205 E Laurel Rd
Stratford, NJ 08084
Phone (856) 344-7360
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jefferson Health
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
Internal Medicine
-
dba Kennedy Health Alliance
- Family Medicine Physician
- West Deptford, NJ
- NPI 1952615981
-
dba Kennedy Health Alliance
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1730370891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MEDICAL CENTER DR",
"address_2": "SUITE 201",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802358",
"telephone_number": "844-542-2273",
"fax_number": "856-553-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MEDICAL CENTER DR",
"address_2": "SUITE 201",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802358",
"telephone_number": "844-542-2273",
"fax_number": "856-553-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "NEVEEN",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB08983300",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MB08983300",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "OS 11895",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MB08983300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007984900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.