Individual provider Active NPI

Malik Tekesinovic, MS

  • Marriage & Family Therapist
  • Bronx, NY
National Provider Identifier
1780013276
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001055 Issued in NY
Practice address
2319 Tiemann Ave
Bronx, NY 10469-6327
Phone
(646) 457-9842
NPI assigned
Nov 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001055 NY Primary

Addresses

Primary practice location

2319 Tiemann Ave
Bronx, NY 10469-6327

Mailing address

2319 Tiemann Ave
Bronx, NY 10469-6327
Phone (646) 457-9842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319001694 NY Practitioner - Marriage and Family Therapist 6305299728 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2319 Tiemann Ave
Bronx, NY 10469-6327
Phone (646) 457-9842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001055NYMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Malik Tekesinovic Marriage and Family Therapy PLLC Marriage & Family Therapist CurrentSince Mar 5, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1780013276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 TIEMANN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696327",
            "telephone_number": "646-457-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 TIEMANN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696327",
            "telephone_number": "646-457-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKESINOVIC",
        "first_name": "MALIK",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.