Individual provider Active NPI

Tariq S Malik, MD

  • General Practice Physician
  • Cheektowaga, NY
National Provider Identifier
1851384655
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
117656 Issued in NY
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

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
117656NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients
Eddie Mas MDPC PastSince Jul 14, 2003 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.

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.

Verify at the official NPI Registry.