NPIMap

Organization Active NPI

Rehan Malik, MD P.C.

  • Addiction Psychiatry Physician
  • Edison, NJ
National Provider Identifier
1770914665
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
25MA09287700 Issued in NJ
Legal business name
REHAN MALIK, MD P.C.
Practice address
36 Bartha Ave
Edison, NJ 08817-2418
Phone
(732) 306-2842
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Rehan Malik, MDNPI 1235417494
Title
Owner
Phone
(732) 306-2842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X 25MA09287700 NJ Primary

Addresses

Primary practice location

36 Bartha Ave
Edison, NJ 08817-2418

Mailing address

36 Bartha Ave
Edison, NJ 08817-2418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616000935 NY Part B Supplier - Clinic/Group Practice 2466676333 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Locations

507 Fulton Ave
Hempstead, NY 11550
Phone (516) 565-0020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1770914665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BARTHA AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BARTHA AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172418",
            "telephone_number": "732-306-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAN MALIK, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-306-2842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "25MA09287700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.