Active NPI
Mendis Jones-Malik, N.P.
- Women's Health Nurse Practitioner
- Bronx, NY
National Provider Identifier
1821021072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F360345
- Practice address
- 324 E 149TH St
Bronx, NY 10451-5602 - Phone
- (718) 665-4300
- Fax
- (718) 665-2660
- NPI assigned
- Jul 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F360345 | NY | Primary |
Addresses
Primary practice location
324 E 149TH St
Bronx, NY 10451-5602
Mailing address
3717 Avenue I
Brooklyn, NY 11210-4331
Phone (718) 253-7529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00245107 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F360345 | NY | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1821021072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 AVENUE I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104331",
"telephone_number": "718-253-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E 149TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104515602",
"telephone_number": "718-665-4300",
"fax_number": "718-665-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES-MALIK",
"first_name": "MENDIS",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F360345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00245107",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.