Stephen Joseph Malki, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02010700 Issued in NJ

Practice address

297 Kinderkamack Rd
Oradell, NJ 07649-1538

Phone

(201) 262-4990

Fax

(201) 262-5673

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871715516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491538",
            "telephone_number": "201-262-4990",
            "fax_number": "201-262-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491538",
            "telephone_number": "201-262-4990",
            "fax_number": "201-262-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKI",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02010700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Limitless Living Support Services
• Timothy Albert Lopez, PA
• Stephen Lorigan, L.C.S.W., LLC
• Carol A. Loscalzo, MSW, LCSW
• Magnetic Resonance of New Jersey
• Daniel L. Margolin, DPM
• Luisa Marquez, M.ED, LPC, NCC
• Pamela Ann Martorana, LPC
• Sara Matlosz
• Allison Paige Matos, LCSW

• General Practice Dentistry in Oradell, NJ
• Providers in Oradell, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.