SHOAIB MALIK M.D.
NPI 1427312677
Family Medicine in Hamilton, NJ

Q: What is Shoaib Malik's NPI number?

The NPI number for Shoaib Malik is 1427312677. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Q: What is Shoaib Malik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shoaib Malik was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 02, 2012PECOS EnrolledAccepts Medicare Assignment

1 HAMILTON HEALTH PL, HAMILTON, NJ 08690(973) 251-1081 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Shoaib Malik M.d. NPPES

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

SHOAIB MALIK M.D. (NPI 1427312677) is an individual family medicine provider in Hamilton, New Jersey, licensed in New Jersey (25MA10105400) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1427312677

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHOAIB MALIKCredential: M.D.

Location Address1 HAMILTON HEALTH PLHamilton, NJ 08690-3542

Mailing Address3 Century DrParsippany, NJ 07054-4610 · (973) 740-0607

Phone(973) 251-1081

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 2, 2012

Last NPPES UpdateJune 5, 20234 updates tracked since enumeration

NPPES CertifiedApril 17, 2022

✔ NPI 1427312677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA10105400

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 HAMILTON HEALTH PL, Hamilton, NJ 08690

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Secondary Practice Location 1

Location 1250 Laurel StDes Moines, IA 50314-3024 · Phone (515) 643-4624

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

Shoaib 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 ID4284885518

PECOS Enrollment IDI20170615001630

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 Shoaib Malik reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Princeton Healthcare Affiliated Physicians PC

2.0 mi

Internal Medicine

2275 HIGHWAY 33, STE 301
Hamilton Square, NJ 08690

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

NPI 1891106498 (609) 586-6006

Prime Health Of New Jersey PC

8.1 mi

Internal Medicine

441 US HIGHWAY 130
East Windsor, NJ 08520

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

NPI 1841933793 (609) 336-7518

Rwjbh Emergency Medicine Associates, LLC

24 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

Central Jersey Urgent Care

34 mi

Urgent Care

731 HIGHWAY 35, UNIT G
Ocean, NJ 07712

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

NPI 1316285091 (732) 455-8444

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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

844 services114 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

580 services89 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.

172 services129 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

74 services73 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

72 services71 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.

68 services66 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

40 services39 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

39 services28 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

38 services23 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.

37 services37 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

26 services26 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

22 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08690 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

42%115 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL B RESNICK MD

Obstetrics & Gynecology

1 HAMILTON HEALTH PL
TRENTON, NJ 08690

Mercer County (609) 631-6899

BETHANY MILANO MSN, AGNP-C

Nurse Practitioner

1 HAMILTON HEALTH PL
HAMILTON, NJ 08690

Mercer County (609) 350-9429

MRS. MARY ADDEZIO APN

Nurse Practitioner (Family)

1 HAMILTON HEALTH PL
TRENTON, NJ 08690

Mercer County (856) 979-7939

KHALED TAHA M.D.

Internal Medicine

1 HAMILTON HEALTH PL
HAMILTON, NJ 08690

Mercer County (609) 586-7900

MR. JONATHAN RASKOW ATC, LAT

Specialist/Technologist (Athletic Trainer)

1 HAMILTON HEALTH PL
HAMILTON TOWNSHIP, NJ 08690

Mercer County (906) 685-0097

DR. ROBERT P. MAYSON MD

Obstetrics & Gynecology

1 HAMILTON HEALTH PL
HAMILTON, NJ 08690

Mercer County (609) 245-7371

CONNIE JOHANNA MOCERI NP-C

Nurse Practitioner (Adult Health)

1 HAMILTON HEALTH PL
HAMILTON, NJ 08690

Mercer County (609) 689-7280

MRS. NATASHA JENNIFER TERILUS AGACNP

Nurse Practitioner (Acute Care)

1 HAMILTON HEALTH PL
HAMILTON, NJ 08690

Mercer County (609) 586-7900

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 Shoaib Malik's NPI number?

The NPI number for Shoaib Malik is 1427312677. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Shoaib Malik located?

Shoaib Malik practices at 1 Hamilton Health Pl, Hamilton, NJ 08690. The listed phone number is (973) 251-1081.

What is Shoaib Malik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shoaib Malik enrolled in Medicare?

Yes. Shoaib 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.

Which organizations bill Medicare for Shoaib Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shoaib Malik reassigns Medicare benefits to 4 organizations: Princeton Healthcare Affiliated Physicians PC (Hamilton Square, NJ), Prime Health Of New Jersey PC (East Windsor, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Central Jersey Urgent Care (Ocean, 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 Shoaib Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shoaib Malik accept?

Health plans from Oscar Health list Shoaib 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.

Is Shoaib Malik affiliated with any hospitals?

According to CMS data, Shoaib Malik is affiliated with University Medical Center Of Princeton At Plainsboro.

When was this NPI record last updated?

The NPPES record for Shoaib Malik was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.