Organization Active NPI

Asim R Malik MD PC

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1750381455
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
141998 Issued in NY
Legal business name
ASIM R MALIK MD PC
Practice address
1224 8TH Ave
Brooklyn, NY 11215-5106
Phone
(718) 788-5588
Fax
(718) 788-1484
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Asim R. Malik, M.D.NPI 1518965086
Title
President
Phone
(718) 788-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 141998 NY Primary

Addresses

Primary practice location

1224 8TH Ave
Brooklyn, NY 11215-5106

Mailing address

188 Old Westbury Rd
Old Westbury, NY 11568-1100
Phone (718) 788-5588

Other identifiers 1

IdentifierTypeStateIssuer
00773120MedicaidNY

National Provider Directory

National Provider Directory

Locations

1224 8th Ave
Brooklyn, NY 11215
Phone (718) 788-5588

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1750381455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 OLD WESTBURY RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681100",
            "telephone_number": "718-788-5588",
            "fax_number": "718-788-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155106",
            "telephone_number": "718-788-5588",
            "fax_number": "718-788-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIM R MALIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ASIM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-788-5588",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "141998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00773120",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.