Active NPI
Pulkit Malik, M.D.
- Family Medicine Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 318713
- Practice address
- Northwell Health Glen Cove Hospital
101 St. Andrews Lane
Glen Cove, NY 11542 - Phone
- (516) 674-7631
- Fax
- (516) 674-7639
- NPI assigned
- Apr 2, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 318713 | NY | Primary |
Addresses
Primary practice location
Northwell Health Glen Cove Hospital
101 St. Andrews Lane
Glen Cove, NY 11542
Mailing address
Northwell Health Glen Cove Hospital
101 St. Andrews Lane
Glen Cove, NY 11542
Phone (516) 674-7631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Dark Hollow Rd
Port Jefferson, NY 11777-2048
Phone (631) 473-5400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318713 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| Progressive Care Medical Group, PLLC | Current | Accepting new patients | |
| Huntington Hospital Association | Past | Accepting new patients | |
| Port Jefferson Operating LLC | Past | Accepting new patients | |
| Excel at Woodbury for Rehabilitation and Nursing LLC | Past | Accepting new patients |
Locations
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219
300 Community Dr
Plandome, NY 11030
150 Dark Hollow Rd
Prt Jefferson, NY 11777
Phone (631) 252-7105
150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1295263796
-
- Skilled Nursing Facility
- Woodbury, NY
- NPI 1376989376
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
-
- Skilled Nursing Facility
- Port Jefferson, NY
- NPI 1093286585
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1396836219
-
- Skilled Nursing Facility
- Port Jefferson, NY
- NPI 1093286585
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691798400000",
"number": "1861954646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHWELL HEALTH GLEN COVE HOSPITAL",
"address_2": "101 ST. ANDREWS LANE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "11542",
"telephone_number": "516-674-7631",
"fax_number": "516-674-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHWELL HEALTH GLEN COVE HOSPITAL",
"address_2": "101 ST. ANDREWS LANE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "11542",
"telephone_number": "516-674-7631",
"fax_number": "516-674-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "PULKIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2023-08-12",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "318713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; 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.