LISA MALAK AGNP-C NPI 1093365199

NPI Information

NPI: 1093365199
Provider Name: LISA MALAK, AGNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
129 ROUTE 37 W
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 797-3990
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Lisa Malak, AGNP-C is a gerontology nurse practitioner in Toms River, NJ. Lisa Malak, AGNP-C NPI is 1093365199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

129 ROUTE 37 W
TOMS RIVER, NJ
ZIP 08755-435
Phone: (732) 797-3990

The enumeration date for this NPI number is 9/19/2019 and was last updated on 9/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	26NJ00963300	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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