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NISHA MALIK M.D.
NPI 1013984616
Obstetrics & Gynecology - Maternal & Fetal Medicine in Long Branch, NJ

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
73 S BATH AVE, LONG BRANCH, NJ 07740(732) 870-3600(732) 870-0119 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nisha Malik M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHA MALIK M.D. (NPI 1013984616) is an individual maternal & fetal medicine provider in Long Branch, New Jersey, licensed in New Jersey (25MA05731000) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1989).

NPPES Registry Identity

NPI1013984616
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameNISHA MALIKCredential: M.D.
Location Address73 S BATH AVELong Branch, NJ 07740-5725
Mailing AddressPo Box 8000, Dept 596Buffalo, NY 14267-0002 · (866) 295-0041 · Fax (708) 342-2517
Phone(732) 870-3600
Fax(732) 870-0119
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateMarch 2, 2006
Last NPPES UpdateOctober 14, 2011
✔ NPI 1013984616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NJ · 25MA05731000
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
73 S BATH AVE, Long Branch, NJ 07740
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified040298NJ
Medicare UPINF82040NJ
Medicaid6186904NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nisha Malik M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315959590
PECOS Enrollment IDI20060707000293
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL NATH MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600
DAVID M WALLACE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600
DAVID GONZALEZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
73 S BATH AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 870-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisha Malik's NPI number?

The NPI number for Nisha Malik is 1013984616. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Nisha Malik located?

Nisha Malik practices at 73 S Bath Ave, Long Branch, NJ 07740. The listed phone number is (732) 870-3600.

What is Nisha Malik's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Nisha Malik enrolled in Medicare?

Yes. Nisha Malik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nisha Malik accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nisha Malik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nisha Malik was last updated on October 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.