Individual provider Active NPI

Malika Bayramukova, SLP

  • Speech-Language Pathologist
  • Clifton, NJ
National Provider Identifier
1831744622
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01029000 Issued in NJ
Practice address
227 Lakeview Avenue
Clifton, NJ 07011-4011
Phone
(862) 238-7000
Fax
(973) 859-0792
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TL-3215 NJ
Speech-Language Pathologist 235Z00000X 41YS01029000 NJ Primary

Addresses

Primary practice location

227 Lakeview Avenue
Clifton, NJ 07011-4011

Mailing address

227 Lakeview Avenue
Clifton, NJ 07011-4011
Phone (862) 238-7000

Other identifiers 1

IdentifierTypeStateIssuer
141547MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000971 NJ Practitioner - Qualified Speech Language Pathologist 8123420932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS01029000NJMDSpeech-Language Pathologist
TL-3215NJMDSpeech-Language Pathologist

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1831744622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAKEVIEW AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114011",
            "telephone_number": "862-238-7000",
            "fax_number": "973-859-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LAKEVIEW AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114011",
            "telephone_number": "862-238-7000",
            "fax_number": "973-859-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYRAMUKOVA",
        "first_name": "MALIKA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3215",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01029000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141547",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.