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IMTIAZ A. MALLICK PHYSICIAN P.C
NPI 1083946792
Internal Medicine in Fishkill, NY

Active since February 04, 2010CLIA 33D0921389 · Waiver
798 ROUTE 9, FISHKILL, NY 12524(845) 896-2204(845) 896-5173 Get Directions Write a Review

NPPES record last updated: March 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2022, Apr 20, 2020 (2 updates tracked since 2020).

About Imtiaz A. Mallick Physician P.c NPPES

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

IMTIAZ A. MALLICK PHYSICIAN P.C (NPI 1083946792) is a healthcare organization registered as an internal medicine in Fishkill, New York and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Imtiaz A Mallick, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1083946792
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMTIAZ A. MALLICK PHYSICIAN P.C
Location Address798 ROUTE 9Fishkill, NY 12524-1393
Mailing Address798 Route 9Fishkill, NY 12524-1393 · (845) 896-2204 · Fax (845) 896-5173
Phone(845) 896-2204
Fax(845) 896-5173
Organization SubpartNo
Authorized OfficialImtiaz A MallickPresident & Ceo · (845) 896-2204
Enumeration DateFebruary 4, 2010
Last NPPES UpdateMarch 5, 20222 updates tracked since enumeration
NPPES CertifiedMarch 5, 2022
✔ NPI 1083946792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 196451
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
798 ROUTE 9, Fishkill, NY 12524
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Other Identifiers 1

Medicaid01485712NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0921389

Imtiaz A Mallick MD PC · Fishkill, NY
Active · expires Oct 28, 2026
CLIA Number33D0921389
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorDr. Imtiaz A. Mallick
Laboratory Phone(845) 896-2204
Laboratory LocationImtiaz A Mallick MD PC798 Route 9, Suite H, Fishkill, NY 12524
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

IMTIAZ A MALLICK MD
Internal Medicine
798 ROUTE 9
FISHKILL, NY 12524
Dutchess County (845) 896-2204
MR. GREGORY MATTHEW SUCKOW MSPT
Physical Therapist
798 ROUTE 9, SUITE B
FISHKILL, NY 12524
Dutchess County (845) 896-3750
SUSAN C HORAN
Social Worker (Clinical)
798 ROUTE 9, SUITE E SPECTRUM BEHAVIORAL MANAGEMENT SERV INC
FISHKILL, NY 12524
Dutchess County (845) 485-3500
MRS. MARGARET MCDONALD MILLER FNP
Nurse Practitioner (Family)
798 ROUTE 9
FISHKILL, NY 12524
Dutchess County (914) 896-2204
LINDA M CASTILLO
Family Medicine
798 ROUTE 9
FISHKILL, NY 12524
Dutchess County (845) 896-2204
HEALTHFIRST MEDICAL ASSOCIATES, LLC
Internal Medicine (Nephrology)
798 ROUTE 9
FISHKILL, NY 12524
Dutchess County (917) 288-6248
DR. THOMAS L VAN AKEN MD
Psychiatry & Neurology (Psychiatry)
798 ROUTE 9, STE A
FISHKILL, NY 12524
Dutchess County (845) 896-2544
VAN AKEN INC
Psychiatry & Neurology (Psychiatry)
798 ROUTE 9, SUITE A
FISHKILL, NY 12524
Dutchess County (845) 896-2544

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 Imtiaz A. Mallick Physician P.C's NPI number?

The NPI number for Imtiaz A. Mallick Physician P.C is 1083946792. It was assigned to this organization in the NPPES registry on February 4, 2010.

Where is Imtiaz A. Mallick Physician P.C located?

Imtiaz A. Mallick Physician P.C is located at 798 Route 9, Fishkill, NY 12524. The listed phone number is (845) 896-2204.

What is Imtiaz A. Mallick Physician P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Imtiaz A. Mallick Physician P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0921389) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imtiaz A. Mallick Physician P.C was last updated on March 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.