Active NPIIndividual provider

Lisa N Malkiewich, DDS

Dentist, General Practice in Manalapan, New Jersey

NPI Number1669904694
Practice location
821 Tennent RD, Manalapan, NJ 07726-8250
Fax
—
Last updated
December 7, 2021

Lisa Nicole Malkiewich is a Dentist, General Practice based in Manalapan, NJ. Lisa Nicole Malkiewich practices in Manalapan, NJ and has the professional credentials of DDS. The NPI Number for Lisa Nicole Malkiewich is 1669904694 and holds a License No. 22DI02681400 (NJ). The current practice location address for Lisa Nicole Malkiewich is 821 Tennent RD, Manalapan, NJ 07726-8250 and can be reached out via phone at 732-536-2600.

Provider Profile Details

NPI Number
1669904694
Provider Name
Lisa Nicole Malkiewich
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
821 Tennent RD, Manalapan, NJ 07726-8250
Phone Number
732-536-2600
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2017
Last Update Date
December 7, 2021
Certification Date
December 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
821 Tennent RD
Manalapan, NJ 07726-8250
Zip
07726-8250
Phone Number
732-536-2600
Manalapan, NJ 07726Get directions →

Provider Business Mailing Address Details

Address
208 Livingston St Apt 2
Westfield, NJ 07090-1510
City
Westfield
State
NJ
Zip
07090-1510
Phone Number
732-881-0102

License Information

License Number
22DI02681400
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa N Malkiewich, DDS?

The NPI number of Lisa N Malkiewich, DDS is 1669904694. It was assigned on March 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Lisa N Malkiewich, DDS?

Lisa N Malkiewich, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02681400.

Where does Lisa N Malkiewich, DDS practice?

The practice location is 821 Tennent RD, Manalapan, NJ 07726-8250. The office can be reached at 732-536-2600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669904694 directly on the NPPES registry website.

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