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TONY MALEK NP-C
NPI 1124376215
Nurse Practitioner - Adult Health in Elizabeth, NJ

Active since August 21, 2012PECOS EnrolledAccepts Medicare Assignment
1150 DICKINSON ST, ELIZABETH, NJ 07201(201) 522-4009 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tony Malek Np-c NPPES

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

TONY MALEK NP-C (NPI 1124376215) is an individual adult health provider in Elizabeth, New Jersey, licensed in New Jersey (26NJ00390100) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and is a graduate of Rutgers New Jersey Medical School (2012).

NPPES Registry Identity

NPI1124376215
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTONY MALEKCredential: NP-C
Location Address1150 DICKINSON STElizabeth, NJ 07201-2210
Mailing Address1 Clara Maass DrBelleville, NJ 07109-3550 · (201) 522-4009
Phone(201) 522-4009
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2012
Enumeration DateAugust 21, 2012
Last NPPES UpdateJanuary 30, 2015
✔ NPI 1124376215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00390100
1150 DICKINSON ST, Elizabeth, NJ 07201
Open in Google Maps ↗

Accepted Insurance

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

Tony Malek Np-c 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 ID3577615368
PECOS Enrollment IDI20140724000459
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

5

Medicare enrollment records show Tony Malek reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Observation Associates LLC
8.5 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Passaic River Observation, LLC
17 mi
Emergency Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 78 clinicians in this Medicare group
NPI 1568113348 (973) 754-2000
Passaic River Physicians, LLC
17 mi
Emergency Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
NPI 1962162644 (973) 754-2000
St. Joseph's Emergency Physicians Inc
17 mi
Emergency Medical Services
703 MAIN ST, EMERGENCY DEPARTMENT
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 88 clinicians in this Medicare group
NPI 1568791192 (973) 754-2000
Rwjbh Emergency Medicine Associates, LLC
18 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services40 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07201 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

GARDEN STATE CARDIOVASCULAR SPECIALISTS P.C
Internal Medicine (Cardiovascular Disease)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Union County (908) 354-8900
DR. ALAN PLAUKA M.D.
Internal Medicine
1150 DICKINSON ST
ELIZABETH, NJ 07201
Union County (908) 354-8900
SHIRLEY VINCENT DNP, MSN, FNP-BC
Nurse Practitioner (Family)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Union County (908) 354-8900
JASJIT WALIA M.D
Internal Medicine (Cardiovascular Disease)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Union County (908) 354-8900
NJ URGENTCARE
Clinic/Center (Urgent Care)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Union County (908) 354-8900
DOVID SIMCHA MORADI MD
Internal Medicine (Gastroenterology)
1150 DICKINSON ST
ELIZABETH, NJ 07201
Union County (908) 354-8900
DENISSE MEJIA PA-C
Physician Assistant
1150 DICKINSON ST
ELIZABETH, NJ 07201
Union County (908) 354-8900

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 Tony Malek's NPI number?

The NPI number for Tony Malek is 1124376215. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Tony Malek located?

Tony Malek practices at 1150 Dickinson St, Elizabeth, NJ 07201. The listed phone number is (201) 522-4009.

What is Tony Malek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tony Malek enrolled in Medicare?

Yes. Tony Malek 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 Tony Malek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Malek reassigns Medicare benefits to 5 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Passaic River Observation, LLC (Paterson, NJ), Passaic River Physicians, LLC (Paterson, NJ), St. Joseph's Emergency Physicians Inc (Paterson, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). 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 Tony Malek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Malek accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Tony Malek 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.

Is Tony Malek affiliated with any hospitals?

According to CMS data, Tony Malek is affiliated with Jersey City Medical Center and Bellevue Hospital Center.

When was this NPI record last updated?

The NPPES record for Tony Malek was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.