DIPAKKUMAR PURUSHOTTAM MALLI (NPI# 1265410831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265410831 |
| Entity Type | Individual |
| Full Name | DIPAKKUMAR PURUSHOTTAM MALLI |
| Credential | MD |
| Practice Address |
140 E Evesham Rd Cherry Hill NJ 08003-3949 |
| Mailing Address |
1416 Spruce Ave Voorhees NJ 08043-3649 |
| Practice Telephone | 8564274477 |
| Practice Fax Number | 8564279199 |
| Mailing Telephone | 6094711000 |
| Mailing Fax Number | 8564279199 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA07352400 | NJ | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA07352400 | NJ | Allopathic & Osteopathic Physicians |
| X | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
25MA07352400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
140 E EVESHAM RD |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275550923 | Pulmonary Affiliates of South Jersey Inc | Internal Medicine | 140 E Evesham Rd, Cherry Hill, NJ 08003-3949 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619288073 | Nicholas Roy | Internal Medicine | 107 Berlin Road, Cherry Hill, NJ 08034 | 2010-06-30 |
| 1780682278 | Ira David Horowitz | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2005-07-08 |
| 1770920720 | David Baumgarten | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2013-05-31 |
| 1285875633 | Aaron David Crookshank | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2009-03-16 |
| 1497946792 | Michael Joseph Driscoll V | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2007-08-05 |
| 1053519702 | Antonio Quiachon Velasco Jr. | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2007-07-04 |
| 1306049713 | William E. Johnston, Mdpc | Internal Medicine | 1020 Kings Hwy N, Suite 101, Cherry Hill, NJ 08034-1906 | 2007-06-06 |
| 1093734022 | Pulmonary and Sleep Associates of South Jersey, LLC | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2006-07-19 |
| 1740209774 | Critical Care Associates of Delaware Valley | Internal Medicine | 108 Kings Hwy S, Cherry Hill, NJ 08034-2504 | 2006-07-19 |
| 1275550923 | Pulmonary Affiliates of South Jersey Inc | Internal Medicine | 140 E Evesham Rd, Cherry Hill, NJ 08003-3949 | 2006-07-17 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
Please comment or provide details below to improve the information on DIPAKKUMAR PURUSHOTTAM MALLI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.