Organization
PEDIATRIC PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYYABA K MALIK MD (PRESIDENT)
(201) 217-1000
Entity
Organization
Contact information
Practice address
127 PALISADE AVE, JERSEY CITY, NJ 07306-1101
(201) 217-1000
(201) 217-3118
Mailing address
127 PALISADE AVE, JERSEY CITY, NJ 07306-1101
(201) 217-1000
(201) 217-3118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA60432
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001
PRUDENTIAL
—
05
—
1010550
—
NJ
05
—
13407
—
NJ
01
—
1444591
UNITED HEALTH CARE
—
05
—
22943
—
NJ
01
—
2697096
GHI (GROUP HEALTH CARE)
—
05
—
2K3441
—
NJ
01
—
491427
AETNA US HEALTHCARE
—
01
—
551491
EMPIRE BLUE CORSS BS
—
05
—
6186106
—
NJ
05
—
HUL00007402
—
NJ
01
—
P2042267
OXFORD
—
Enumeration date
12/13/2006
Last updated
04/20/2008
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