Individual provider Active NPI

Lubna Malik, M.D.

  • Pediatrics Physician
  • Whitehall, PA
National Provider Identifier
1891102356
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD453047 Issued in PA
Practice address
2000 Eberhart Rd
Whitehall, PA 18052-3645
Phone
(610) 904-8100
NPI assigned
Jul 16, 2014
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 273002 NY
Pediatrics Physician 208000000X MD453047 PA Primary

Addresses

Primary practice location

2000 Eberhart Rd
Whitehall, PA 18052-3645

Mailing address

6034 Hamilton Blvd
PO Box 114
Allentown, PA 18106-9754
Phone (610) 904-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lubna.malik@443411168821252.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110000491 PA Practitioner - Pediatric MedicinePractitioner - Hospitalist 0042432940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
273002NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avicenna Physician Services Inc Pediatrics CurrentSince Dec 10, 2020 Accepting new patients

Locations

5148 Hamilton Blvd
Allentown, PA 18106
Phone (610) 515-9994

2000 Eberhart Rd
Whitehall, PA 18052
Phone (610) 776-9440

Interoperability endpoints

  • Direct secure messaging: lubna.malik@443411168821252.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1891102356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 HAMILTON BLVD",
            "address_2": "PO BOX 114",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069754",
            "telephone_number": "610-904-8100",
            "fax_number": "610-638-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EBERHART RD",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523645",
            "telephone_number": "610-904-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "LUBNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "273002",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD453047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lubna.malik@443411168821252.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "ccd/ePHI",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "2000 Eberhart Rd",
            "city": "Whitehall",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180523645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.