LISA MALAK AGNP-C
NPI 1093365199
Nurse Practitioner - Gerontology in Bay Head, NJ

Q: What is Lisa Malak's NPI number?

The NPI number for Lisa Malak is 1093365199. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Q: What is Lisa Malak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Malak was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 19, 2019

106 BRIDGE AVE STE 6, BAY HEAD, NJ 08742(732) 996-6935 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Sep 19, 2019 (2 updates tracked since 2019).

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About Lisa Malak Agnp-c NPPES

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

LISA MALAK AGNP-C (NPI 1093365199) is an individual gerontology provider in Bay Head, New Jersey, licensed in New Jersey (26NJ00963300) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1093365199

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameLISA MALAKCredential: AGNP-C

Location Address106 BRIDGE AVE STE 6Bay Head, NJ 08742-5073

Mailing Address400 Earl DrBrick, NJ 08723-6470 · (732) 996-6935

Phone(732) 996-6935

Sole ProprietorNo

Enumeration DateSeptember 19, 2019

Last NPPES UpdateMay 9, 20242 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1093365199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ00963300

Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ00963300 (NJ)

106 BRIDGE AVE STE 6, Bay Head, NJ 08742

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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 Lisa Malak's NPI number?

The NPI number for Lisa Malak is 1093365199. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Lisa Malak located?

Lisa Malak practices at 106 Bridge Ave Ste 6, Bay Head, NJ 08742. The listed phone number is (732) 996-6935.

What is Lisa Malak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Lisa Malak was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.