MEDICARE: AYESHA I MALIK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA12851500	NJ

General Provider Information

NPI Number	:	1962145318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYESHA I MALIK MD

Provider Business Mailing Address
First Line	:	22 DEVON RD
Second Line	:
City	:	ESSEX FELLS
State	:	NJ
Zip	:	07021-1705
Country	:	US
Telephone Number	:	201-705-8056
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 PARK ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-3162
Country	:	US
Telephone Number	:	973-746-0595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	02/04/2026

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