Organization Active NPI

Umair Moiz Malik MD PC

  • Internal Medicine Physician
  • Thorndale, PA
National Provider Identifier
1831483510
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UMAIR MOIZ MALIK MD PC
Practice address
3149 Lincoln Hwy
Suite C
Thorndale, PA 19372-1129
Phone
(610) 384-4100
Fax
(610) 441-7588
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Henry Keith Weiss
Title
Provider
Phone
(610) 384-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3149 Lincoln Hwy
Suite C
Thorndale, PA 19372-1129

Mailing address

3149 Lincoln Hwy
Suite C
Thorndale, PA 19372-1129
Phone (610) 384-4100

Other names 1

  • Brandywine Medical and Kidney Specialist Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000472 PA Part B Supplier - Clinic/Group Practice 3678750411 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Thorndale, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3149 Lincoln Hwy
Ste C
Thorndale, PA 19372
Phone (610) 384-4100

Practitioners & affiliated clinicians

Practitioners 2

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": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1831483510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 LINCOLN HWY",
            "address_2": "SUITE C",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721129",
            "telephone_number": "610-384-4100",
            "fax_number": "610-441-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 LINCOLN HWY",
            "address_2": "SUITE C",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721129",
            "telephone_number": "610-384-4100",
            "fax_number": "610-441-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMAIR MOIZ MALIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "610-384-4100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Medical and Kidney Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thorndale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.