Active NPI
Rajit Bhoosa Malliah, M.D.
- Dermatopathology (Pathology) Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 25MA08082900
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (732) 330-9637
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 25MA08082900 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
904 River Rd
Piscataway, NJ 08854-5504
Phone (732) 330-9637
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (201) 996-2000
7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000
Hospital & facility affiliations
- Hackensack University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.08 of 100
- Quality
- 94.47
- Improvement activities
- 40
- Cost
- 80.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08082900 | NJ | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Pathology Associates, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Orange Pathology Associates, PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Ted Brezel MD | Past | Accepting new patients | |
| South Jersey Skin Care & Laser Center, P.C. | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Hackensack, NJ
- NPI 1184856031
-
- Dermatology Physician
- Marlton, NJ
- NPI 1518906403
-
- Anatomic Pathology & Clinical Pathology Physician
- Suffern, NY
- NPI 1053355248
-
- Procedural Dermatology Physician
- Glendale, NY
- NPI 1093910192
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1831341791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 RIVER RD",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088545504",
"telephone_number": "732-330-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "732-330-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLIAH",
"first_name": "RAJIT",
"middle_name": "BHOOSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NJ",
"license": "25MA08082900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.