Basic Information
| Provider Information | |||||||||
| NPI: | 1922074509 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MALIK | ||||||||
| FirstName: | ZEENAT | ||||||||
| MiddleName: | Q | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 NEW PROVIDENCE RD | ||||||||
| Address2: | |||||||||
| City: | MOUNTAINSIDE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070922590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082333720 | ||||||||
| FaxNumber: | 9083015456 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 NEW PROVIDENCE RD | ||||||||
| Address2: | |||||||||
| City: | MOUNTAINSIDE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070922590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082333720 | ||||||||
| FaxNumber: | 9083015456 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 03/24/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0008X | 25MA06368500 | NJ | Y | Allopathic & Osteopathic Physicians | Pediatrics | Neurodevelopmental Disabilities |
ID Information
| ID | Type | State | Issuer | Description | 01000767000 | 01 | NJ | AMERICHOICE | OTHER | 17596100 | 01 | NJ | MAGELLAN BEHAVIORAL | OTHER | 221487148 | 01 | NJ | DEVON HEALTHCARE | OTHER | 2K3442 | 01 | NJ | HEALTHNET | OTHER | 0294524000 | 01 | NJ | AMERIHEALTH | OTHER | 221487148-024 | 01 | NJ | QUALCARE INC | OTHER | 221487148 | 01 | NJ | MULTIPLAN | OTHER | 27446 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | 42834 | 01 | NJ | AMERIGROUP | OTHER | 8252661 | 01 | NJ | CIGNA HEALTHCARE | OTHER | 1096732 | 01 | NJ | HORIZON NJ HEALTH | OTHER | P2125853 | 01 | NJ | OXFORD HEALTH PLANS | OTHER | 221487148 | 01 | NJ | HORIZON BCBS | OTHER | 2912448 | 01 | NJ | AETNA HEALTHCARE | OTHER | S51B01 | 01 | NJ | EMPIRE WELLCHOICE | OTHER | 221487148 | 01 | NJ | UNITED HEALTHCARE | OTHER | 2216426 | 01 | NJ | CIGNA BEHAVIORAL HEALTHCA | OTHER |