Malki Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02010700 Issued in NJ

Legal business name

MALKI DENTAL

Practice address

111 Kinderkamack Rd
River Edge, NJ 07661-1952

Phone

(201) 646-0800

Fax

(201) 646-1500

NPI assigned

Sep 11, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Joseph Malki, DMD

Title

Owner

Phone

(201) 646-0800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Paul Gordon, PH.D.

  • Psychologist
  • Paramus, NJ
  • NPI 1841288354
  NPD (past)
• Eric Noel Maser, DMD

  • Dentist
  • Willimantic, CT
  • NPI 1558794610
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1972938793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KINDERKAMACK RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611952",
            "telephone_number": "201-646-0800",
            "fax_number": "201-646-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KINDERKAMACK RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611952",
            "telephone_number": "201-646-0800",
            "fax_number": "201-646-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALKI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "MALKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-646-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02010700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Loquet, MSW
• Melissa Love-Perrone
• Genevieve Mary Lowry, CCLS
• Zakiyyah Luqman
• Elliott Luty, D.P.T.
• Dianna Maranilli, BCBA
• Jenna Suzanne Marcella, LCSW, LCADC
• Margaret Ravits MD
• Michael Mariano, LPC, LCADC
• Mark S Goldfarb, MD, PA

• General Practice Dentistry in River Edge, NJ
• Providers in River Edge, 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 Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.