Active NPI
Tariq S Malik, MD
- General Practice Physician
- Cheektowaga, NY
National Provider Identifier
1851384655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 117656
- Practice address
- 132 Cayuga Rd
Cheektowaga, NY 14225-1942 - Phone
- (716) 204-9711
- Fax
- (716) 204-9717
- NPI assigned
- Aug 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 117656 | NY | |
| General Practice Physician | 208D00000X | 117656 | NY | Primary |
Addresses
Primary practice location
132 Cayuga Rd
Cheektowaga, NY 14225-1942
Mailing address
132 Cayuga Rd
Cheektowaga, NY 14225-1942
Phone (716) 204-9711
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117656 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elder Medical Services PC | Past | Accepting new patients | |
| Eddie Mas MDPC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- West Seneca, NY
- NPI 1699953588
-
- Geriatric Medicine (Family Medicine) Physician
- Cheektowaga, NY
- NPI 1740388719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1851384655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 CAYUGA RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142251942",
"telephone_number": "716-204-9711",
"fax_number": "716-204-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 CAYUGA RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142251942",
"telephone_number": "716-204-9711",
"fax_number": "716-204-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "TARIQ",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "117656",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "117656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.