Lisa Malak, AGNP-C is a
Nurse Practitioner - Gerontology based in Bay Head, New Jersey. Lisa Malak is licensed to practice in New Jersey (license number 26NJ00963300) and her current practice location is
106 Bridge Ave Ste 6, Bay Head, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 996-6935.
NPI number for Lisa Malak is 1093365199 and her current mailing address is 400 Earl Dr, Brick, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093365199.
Provider's Profile
Full Name | Lisa Malak |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 106 Bridge Ave Ste 6, Bay Head, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093365199
- Provider Enumeration Date: 09/19/2019
- Last Update Date: 05/09/2024
Medical Identifiers
Medical identifiers for Lisa Malak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093365199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 26NJ00963300 (New Jersey) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 26NJ00963300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Malak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Malak, AGNP-C 400 Earl Dr, Brick, NJ 08723-6470 Ph: (732) 996-6935 | Lisa Malak, AGNP-C 106 Bridge Ave Ste 6, Bay Head, NJ 08742-5073 Ph: (732) 996-6935 |
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