LISA MALAK AGNP-C NPI 1093365199

NPI Information

  • NPI: 1093365199
  • Provider Name: LISA MALAK, AGNP-C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 106 BRIDGE AVE STE 6
    BAY HEAD, NJ
    ZIP 08742
  • Phone: (732) 996-6935

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NPI Details

Lisa Malak, AGNP-C is a gerontology nurse practitioner in Bay Head, 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:

106 BRIDGE AVE STE 6
BAY HEAD, NJ
ZIP 08742-073
Phone: (732) 996-6935

The enumeration date for this NPI number is 9/19/2019 and was last updated on 5/9/2024.

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
1363L00000XNurse Practitioner26NJ00963300NEW JERSEYNo
2363LG0600XNurse PractitionerGerontology26NJ00963300NEW JERSEYYes

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: 3/30/2025

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