Lisa Nicole Malkiewich, DDS
Dentist, General Practice in Manalapan, NJ. Individual provider (NPI-1).
NPI number1669904694
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1669904694
- Entity type
- Individual (NPI-1)
- Name
- Lisa Nicole Malkiewich
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2017
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 22DI02681400 | NJ | Yes |
Practice location
821 Tennent RdManalapan, NJ 07726-8250
Phone 732-536-2600
Mailing address
208 Livingston St Apt 2Westfield, NJ 07090-1510
Phone 732-881-0102
Other practice locations
99 Beauvoir Ave
Summit, NJ 07901-3533
Summit, NJ 07901-3533
Phone 908-522-2000
114 Miln St
Cranford, NJ 07016-2141
Cranford, NJ 07016-2141
Phone 908-272-0787
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 General Practice Dentistry providers in Manalapan · All 1,176 providers in Manalapan
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