Active NPI
Nevila Malile, OROFACIAL MYOLOGIST
- Specialist
- Sussex, NJ
National Provider Identifier
1932485679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 198-C-14
- Practice address
- 5 Douglas CT
Sussex, NJ 07461-4001 - Phone
- (862) 354-4466
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 198-C-14 | NJ | Primary |
Addresses
Primary practice location
5 Douglas CT
Sussex, NJ 07461-4001
Mailing address
5 Douglas CT
Sussex, NJ 07461-4001
Phone (862) 354-4466
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198-C-14 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1932485679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DOUGLAS CT",
"city": "SUSSEX",
"state": "NJ",
"postal_code": "074614001",
"telephone_number": "862-354-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DOUGLAS CT",
"city": "SUSSEX",
"state": "NJ",
"postal_code": "074614001",
"telephone_number": "862-354-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALILE",
"first_name": "NEVILA",
"credential": "OROFACIAL MYOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "198-C-14",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sussex, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.