BHOOSAMALLIAH,MD
NPI 1639145436
Internal Medicine - Adolescent Medicine in Bricktown, NJ

Q: What is Bhoosa Malliah, MD. PA's NPI number?

The NPI number for Bhoosa Malliah, MD. PA is 1639145436. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider is doing business as Bhoosamalliah,md.

Q: What is Bhoosa Malliah, MD. PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Active since February 23, 2006

222 JACK MARTIN BLVD, SUITE. E,, BRICKTOWN, NJ 08724(732) 840-8688(732) 840-8480 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Bhoosamalliah,md NPPES

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

BHOOSAMALLIAH,MD (NPI 1639145436) is a healthcare organization registered as an adolescent medicine in Bricktown, New Jersey and active in the NPI registry since February 2006. The organization lists Bhoosa Malliah, Physician, as its authorized official.

NPPES Registry Identity

NPI1639145436

Entity TypeOrganization

Primary Taxonomy207RA0000X

Legal Business NameBHOOSA MALLIAH, MD. PA

Location Address222 JACK MARTIN BLVD, SUITE. E,Bricktown, NJ 08724-7772

Mailing Address222 Jack Martin Blvd, Suite. E,Bricktown, NJ 08724-7772 · (732) 840-8688 · Fax (732) 840-8480

Phone(732) 840-8688

Fax(732) 840-8480

Organization SubpartNo

Authorized OfficialBhoosa MalliahPhysician · (732) 840-8688

Enumeration DateFebruary 23, 2006

Last NPPES UpdateSeptember 20, 2007

✔ NPI 1639145436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

222 JACK MARTIN BLVD, Bricktown, NJ 08724

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Other Names 1

Doing Business AsBhoosamalliah,md

Other Identifiers 2

Medicare UPIND06502NJ

Medicare PIN450719NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bhoosa Malliah, MD. PA's NPI number?

The NPI number for Bhoosa Malliah, MD. PA is 1639145436. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider is doing business as Bhoosamalliah,md.

Where is Bhoosa Malliah, MD. PA located?

Bhoosa Malliah, MD. PA is located at 222 Jack Martin Blvd Suite. E,, Bricktown, NJ 08724. The listed phone number is (732) 840-8688.

What is Bhoosa Malliah, MD. PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Bhoosa Malliah, MD. PA was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.