Lisa Malak, AGNP-C in Bay Head, NJ - Nurse Practitioner

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.

Contact Information

	Lisa Malak, AGNP-C
	106 Bridge Ave Ste 6, Bay Head, NJ 08742-5073
	(732) 996-6935
	Not Available

Provider's Profile

Full Name	Lisa Malak
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	106 Bridge Ave Ste 6, Bay Head, New Jersey
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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Nurse Practitioner Nurses in Bay Head, NJ

Susan Bersin, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 137 Grove St Apt 2, Bay Head, NJ 08742
Phone: 201-543-1515

Lisa Malak, AGNP-C - Nurse Practitioner in Bay Head, NJ