Individual provider Active NPI

Malya Zelinger, PA-C

  • Physician Assistant
  • Bloomingdale, NJ
National Provider Identifier
1962340505
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP01003500 Issued in NJ
Practice address
255 Union Ave
Bloomingdale, NJ 07403-1924
Phone
(973) 283-1700
NPI assigned
Mar 24, 2026
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP01003500 NJ Primary

Addresses

Primary practice location

255 Union Ave
Bloomingdale, NJ 07403-1924

Mailing address

147 Ridge Ave
Passaic, NJ 07055-2420
Phone (914) 714-3179

Other names 1

  • Malya Bruckstein Former name

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518002525 NJ Practitioner - Physician Assistant 1557830684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

147 Ridge Ave
Passaic, NJ 07055-2420

3438 Bell Blvd
Suite 301
Bayside, NY 11361-1745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MP01003500NJMDPhysician Assistant

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": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1962340505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 RIDGE AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552420",
            "telephone_number": "914-714-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION AVE",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031924",
            "telephone_number": "973-283-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELINGER",
        "first_name": "MALYA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP01003500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALYA",
            "last_name": "BRUCKSTEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomingdale, NJ

Sources for this page

Verify at the official NPI Registry.