Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOSHUA MALI M.D.
NPI 1124261375
Ophthalmology - Retina Specialist in Lawrenceville, NJ

Q: What is Joshua Mali's NPI number?

The NPI number for Joshua Mali is 1124261375. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Q: What is Joshua Mali's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Mali was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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 April 16, 2009PECOS EnrolledAccepts Medicare Assignment

85.71/100

CMS Quality Rating

4 PRINCESS RD STE 101, LAWRENCEVILLE, NJ 08648(609) 896-1414(609) 896-2982 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2026, May 27, 2026, May 20, 2026 and 6 more (9 updates tracked since 2018).

On this page

About Dr. Joshua Mali M.d. NPPES

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

DR. JOSHUA MALI M.D. (NPI 1124261375) is an individual retina specialist in Lawrenceville, New Jersey, licensed in New Jersey (25MA12100100) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of West Virginia University School Of Medicine (2009).

NPPES Registry Identity

NPI1124261375

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. JOSHUA MALICredential: M.D.

Location Address4 PRINCESS RD STE 101Lawrenceville, NJ 08648-2322

Mailing Address420 Mountain Ave Fl 4New Providence, NJ 07974-2736 · (908) 458-8333 · Fax (908) 967-5488

Phone(609) 896-1414

Fax(609) 896-2982

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2009

Enumeration DateApril 16, 2009

Last NPPES UpdateSeptember 9, 20269 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ NPI 1124261375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Licenses✔ Licensed in NJ · 25MA12100100✔ Licensed in PA · MD495480✔ Licensed in FL · ME124007

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License ME124007 (FL), 25MA12100100 (NJ), MD495480 (PA)

4 PRINCESS RD STE 101, Lawrenceville, NJ 08648

Open in Google Maps ↗

Secondary Practice Locations 2

Location 16B Minneakoning RdFlemington, NJ 08822-5760 · Phone (908) 824-7144 · Fax (908) 968-3239

Location 2400 Middletown Blvd Ste 104Langhorne, PA 19047-1819 · Phone (215) 750-9411 · Fax (609) 896-2982

Other Identifiers 1

Other62979Albany Medical Center Id Number

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joshua Mali 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 ID4385887470

PECOS Enrollment IDI20240606003500

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.

Medicare Billing Reassignments

Medicare enrollment records show Joshua Mali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paul Phillips Eye & Surgery Center PC

17 mi

Ophthalmology

6B MINNEAKONING RD
Flemington, NJ 08822

Reassigned Medicare billing, New Jersey enrollment
12 clinicians in this Medicare group

NPI 1720193733 (908) 824-7144

Associated Retinal Consultants LLC

68 mi

Ophthalmology

1 CENTURIAN DR STE 114
Newark, DE 19713

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
118 clinicians in this Medicare group

NPI 1164578894 (908) 458-8333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

24,781 services139 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,097 services626 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

731 services270 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

550 services403 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

410 services41 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

384 services214 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

268 services49 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

206 services172 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

168 services167 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

149 services147 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

84 services66 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

52 services23 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

46 services44 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

38 services38 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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.

85.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

60.73

Other Providers at the Same Location NPPES 2

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

LAXMI VASUDHA DEVISETTY M.D.

Ophthalmology

4 PRINCESS RD STE 101
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-1414

DARMAKUSUMA IE M.D.

Ophthalmology

4 PRINCESS RD STE 101
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-1414

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 Joshua Mali's NPI number?

The NPI number for Joshua Mali is 1124261375. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Joshua Mali located?

Joshua Mali practices at 4 Princess Rd Ste 101, Lawrenceville, NJ 08648. The listed phone number is (609) 896-1414.

What is Joshua Mali's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Joshua Mali enrolled in Medicare?

Yes. Joshua Mali 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.

Which organizations bill Medicare for Joshua Mali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Mali reassigns Medicare benefits to 2 organizations: Paul Phillips Eye & Surgery Center PC (Flemington, NJ) and Associated Retinal Consultants LLC (Newark, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Mali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Mali accept?

Health plans from Oscar Health list Joshua Mali 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 Joshua Mali was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.