Individual provider Active NPI

Shalini R Mali, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
National Provider Identifier
1750473286
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07371500 Issued in NJ
Practice address
206 Claremont Ave
Montclair, NJ 07042
Phone
(973) 746-0009
Fax
(973) 746-7911
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07371500 NJ Primary

Addresses

Primary practice location

206 Claremont Ave
Montclair, NJ 07042

Mailing address

206 Claremont Ave
Montclair, NJ 07042-3410
Phone (973) 746-0009

Other practice location 1

88 Park St
Montclair, NJ 07042-5915
Phone (973) 746-0009

Other identifiers 2

IdentifierTypeStateIssuer
P00181759OtherNJRAILROAD MEDICARE
0007447MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031105000369 NJ Practitioner - Internal Medicine 2769394956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 746-0009

206 Claremont Ave
Montclair, NJ 07042-3410
Phone (973) 746-0009

250 Bloomfield Ave
Bloomfield, NJ 07003-5689
Phone (973) 746-0009

Hospital & facility affiliations

  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025
  • Job Haines Home For Aged People Nursing home, Bloomfield, NJ, CCN 315392

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07371500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shalini R Mali MD LLC Internal Medicine CurrentSince Jul 30, 2012 Accepting new patients

Locations

206 Claremont Ave
Montclair, NJ 07042
Phone (973) 352-7951

206 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (732) 902-2182

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAIAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAIAAA/Endpoint/CAIAAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1750473286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CLAREMONT AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423410",
            "telephone_number": "973-746-0009",
            "fax_number": "973-746-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CLAREMONT AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-746-0009",
            "fax_number": "973-746-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Park St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070425915",
            "country_code": "US",
            "telephone_number": "973-746-0009",
            "fax_number": "973-746-7911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALI",
        "first_name": "SHALINI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07371500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00181759",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007447",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.