SHERIF MALEK MD
NPI 1699716175
Internal Medicine in West Long Branch, NJ
NPI Status: Active since June 08, 2006
Contact Information
232 NORWOOD AVE
WEST LONG BRANCH, NJ
ZIP 07764
Phone: (732) 222-6637
Fax: (732) 222-6645
- Individual
- Male
- Years of Experience 39
- Internal Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About SHERIF MALEK
This page provides the complete NPI Profile along with additional information for Sherif Malek, an internist established in West Long Branch, New Jersey with a medical specialization in Internal Medicine and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1699716175 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number MA073957 (NJ). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1699716175
- Provider Name
- SHERIF MALEK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764
- Location Phone
- (732) 222-6637
- Location Fax
- (732) 222-6645
- Mailing Address
- 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764
- Mailing Phone
- (732) 222-6637
- Mailing Fax
- (732) 222-6645
- Medical School Name
- OTHER
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-08-2006
- Last Update Date
- 09-23-2011
- Code Navigator
An internist like Sherif Malek is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA073957
- License State
- NJ
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
G12664 | MEDICARE UPIN (02) | NJ | |
9073108 | MEDICAID (05) | NJ | |
064716 | MEDICARE ID-TYPE UNSPECIFIED (04) | NJ |
Medicare Participation & PECOS Enrollment Status
Sherif Malek is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Sherif Malek is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6901842400
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050801000982
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
20 DME suppliers used 58 Medicare Claims 141 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
13 DME suppliers used 21 Medicare Claims 28 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 19 Medicare Claims 19 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
2 DME suppliers used 15 Medicare Claims 15 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
5 DME suppliers used 42 Medicare Claims 43 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4414)
2 DME suppliers used 12 Medicare Claims 140 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)
2 DME suppliers used 12 Medicare Claims 240 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Annual depression screening, 15 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
Automated urinalysis test
Creatinine level to test for kidney function or muscle injury
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Hospital discharge day management, more than 30 minutes
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent, 0.5 ml dosage
Initial hospital inpatient care per day, typically 70 minutes
Initial nursing facility visit per day, typically 45 minutes
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Injection of drug or substance under skin or into muscle
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
New patient office or other outpatient visit, 60-74 minutes
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
Prostate cancer screening; digital rectal examination
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Routine electrocardiogram (ecg) using at least 12 leads with tracing
Telephone medical discussion with physician, 11-20 minutes
Telephone medical discussion with physician, 21-30 minutes
Transitional care management services for problem of high complexity
Ultrasound of both sides of head and neck blood flow
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 99 times for 99 patientsAn annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
This service was performed 37 times for 37 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 335 times for 335 patientsAn annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
This service was performed 14 times for 14 patientsThis is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
This service was performed 23 times for 23 patientsAn automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 50 times for 42 patientsA creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
This service was performed 47 times for 41 patientsAn immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
This service was performed 95 times for 77 patientsThis test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
This service was performed 70 times for 55 patientsAn Electrocardiogram (ECG) with 12 leads is a routine test to check your heart's activity. It's done during your initial preventive physical exam. The test involves attaching 12 leads or sensors to your body to record electrical signals from your heart. This helps identify any heart problems.
This service was performed 82 times for 82 patientsAn Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.
This service was performed 16 times for 16 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 85 times for 51 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 128 times for 101 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 869 times for 392 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 74 times for 62 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 77 times for 22 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 73 times for 26 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 38 times for 26 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 38 times for 27 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 83 times for 83 patientsThe Influenza vaccine, quadrivalent, 0.5 ml dosage, is a flu shot to protect against four strains of the flu virus. It's given as a small injection, typically in the arm, to help your body build immunity and fight off potential flu infections.
This service was performed 17 times for 17 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 37 times for 28 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 16 times for 15 patientsAn Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
This service was performed 24 times for 24 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 44 times for 14 patientsThis is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
This service was performed 29 times for 11 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 57 times for 57 patientsThis is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
This service was performed 23 times for 23 patientsProstate cancer screening involves a simple test called a digital rectal examination. In this procedure, a healthcare professional checks for any irregularities in the gland located under your bladder. This test can help detect issues early, improving outcomes.
This service was performed 44 times for 44 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 355 times for 337 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 354 times for 336 patientsAn Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
This service was performed 355 times for 337 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 101 times for 81 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 12 times for 11 patientsTransitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
This service was performed 27 times for 24 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 27 times for 26 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 49 times for 49 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $35.08 for a new patient copayment and $26.98 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07764 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $140.34
- Minimum New Patient Price $61.59
- Maximum New Patient Price $185.05
- Average New Patient Copayment $35.08
- Minimum New Patient Copayment $15.39
- Maximum New Patient Copayment $46.26
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $107.94
- Minimum Established Patient Price $20.08
- Maximum Established Patient Price $150.98
- Average Established Patient Copayment $26.98
- Minimum Established Patient Copayment $5.02
- Maximum Established Patient Copayment $37.74
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 36% | 189 |
Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified | ||
Documentation of Current Medications in the Medical Record | 100% | 4055 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
e-Prescribing | 5% | 911 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Health Information Exchange | 3% | 63 |
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
Immunization Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
Medication Reconciliation | 94% | 53 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Participation in Population Health Research | Yes | N/A |
Participation in federally and/or privately funded research that identifies interventions, tools, or processes that can improve a targeted patient population. | ||
Patient-Specific Education | 79% | 900 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 86% | 1901 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 49% | 1834 |
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 21% | 196 |
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
Provide Patient Access | 88% | 900 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Secure Messaging | 35% | 900 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Use of High-Risk Medications in the Elderly | 6% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 624 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
Use of telehealth services that expand practice access | Yes | N/A |
Use of telehealth services and analysis of data for quality improvement, such as participation in remote specialty care consults or teleaudiology pilots that assess ability to still deliver quality care to patients. |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sherif Malek is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
RIVERVIEW MEDICAL CENTER | ONE RIVERVIEW PLAZA RED BANK, NJ 07701 | (732) 741-2700 | Acute Care Hospitals | |
JERSEY SHORE UNIVERSITY MEDICAL CENTER | 1945 STATE ROUTE 33 NEPTUNE, NJ 07753 | (732) 775-5500 | Acute Care Hospitals | |
MONMOUTH MEDICAL CENTER | 300 SECOND AVENUE LONG BRANCH, NJ 07740 | (732) 222-5200 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 9 | 9 | 7 | 1 | 6 | 1 | 7 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 18 | 9 | 14 | 1 | 12 | 1 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 8 + 9 + 1 + 4 + 1 + 1 + 2 + 1 + 1 + 4 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1699716175 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1366404931 | TRINA CUNNINGHAM M ED, ATC, MT, CFO Individual | Specialist/Technologist (Athletic Trainer) | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 571-9111 |
1609839828 | DR. SANDRA FERRARA DMD Individual | Dentist (General Practice) | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 222-4694 |
1205873601 | MALEK MEDICAL PC Organization | Internal Medicine | 232 NORWOOD AVE W LONG BRANCH, NJ 07764 (732) 222-6637 |
1336174424 | MR. JONATHAN H ANDRUS PT Individual | Physical Therapist | 232 NORWOOD AVE SUITE C WEST LONG BRANCH, NJ 07764 (732) 923-1500 |
1790708063 | MRS. SHERRIE L ANDRUS PT Individual | Physical Therapist | 232 NORWOOD AVE STE C WEST LONG BRANCH, NJ 07764 (732) 923-1500 |
1831257450 | MRS. PATRICIA ANN CREVELING CMT LMT Individual | Massage Therapist | 232 NORWOOD AVE W LONG BRANCH, NJ 07764 (908) 571-9111 |
1093935819 | DR. RENEE FALIVENE DMD Individual | Dentist | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 222-4694 |
1912196064 | JOANNE JODRY LPC, LCADC Individual | Counselor (Professional) | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 263-5115 |
1205017803 | MS. NICOLE M. JACKSON MA, LPC, LCADC Individual | Counselor (Professional) | 232 NORWOOD AVE SUITE 5 WEST LONG BRANCH, NJ 07764 (732) 948-2132 |
1598940587 | MRS. ANASTASIA MATINA MARAVELIAS-KAKOS MA, LPC Individual | Counselor (Professional) | 232 NORWOOD AVE COUNSELING & PSYCHOTHERAPY FOR CHANGE, LLC WEST LONG BRANCH, NJ 07764 (732) 263-1515 |
1528206273 | MARISOL ROXANA MONDACA LPC, LCADC Individual | Counselor (Mental Health) | 232 NORWOOD AVE SUITE 5 WEST LONG BRANCH, NJ 07764 (732) 403-1377 |
1285962092 | MICHELE PAPPA UMLAH Individual | Social Worker (Clinical) | 232 NORWOOD AVE SUITE 5 WEST LONG BRANCH, NJ 07764 (732) 232-9412 |
1093012429 | LAUREN CARRIE MOCZERNIUK PT, DPT Individual | Physical Therapist | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 923-1500 |
1689001869 | MRS. ASHLEY WHITE MESSIHA PA-C Individual | Physician Assistant (Medical) | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 222-6637 |
1932659240 | MALEK MEDICAL PC Organization | Non-Pharmacy Dispensing Site | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 222-6637 |
1366985020 | MR. BRIAN OLAND LPC Individual | Counselor (Mental Health) | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (610) 420-2861 |
1538376462 | FALIVENE AND FALIVENE DDS PA Organization | Dentist (General Practice) | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 222-4694 |
1629546825 | JENNIFER TRIMARCHI MS, LPC, NCC Individual | Counselor (Professional) | 232 NORWOOD AVE WEST LONG BRANCH, NJ 07764 (732) 320-6700 |
1548364110 | ANDRUS PHYSICAL THERAPY LLC Organization | Physical Therapist | 232 NORWOOD AVE SUITE C WEST LONG BEACH, NJ 07764 (732) 923-1500 |
1629223094 | PATRICIA MAE O'SHEA PT Individual | Physical Therapist | 232 NORWOOD AVE SUITE 105 WEST LONG BRANCH, NJ 07764 (732) 923-1500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699716175, enumerated in the NPI registry as an "individual" on June 08, 2006
The provider is located at 232 Norwood Ave West Long Branch, Nj 07764 and the phone number is (732) 222-6637
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 39 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $140.34 with an average copayment of $35.08 for new patient appointments. Established patients should expect a typical charge of $107.94 and an average copayment of 26.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual depression screening, 15 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit, Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes, Automated urinalysis test, Creatinine level to test for kidney function or muscle injury, Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination, Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Follow-up nursing facility visit per day, typically 25 minutes, Hospital discharge day management, more than 30 minutes, Influenza vaccine split virus, preservative free, Influenza vaccine, quadrivalent, 0.5 ml dosage, Initial hospital inpatient care per day, typically 70 minutes, Initial nursing facility visit per day, typically 45 minutes, Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment, Injection of drug or substance under skin or into muscle, Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg, New patient office or other outpatient visit, 60-74 minutes, Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, Prostate cancer screening; digital rectal examination, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, Routine electrocardiogram (ecg) using at least 12 leads with tracing, Telephone medical discussion with physician, 11-20 minutes, Telephone medical discussion with physician, 21-30 minutes, Transitional care management services for problem of high complexity, Ultrasound of both sides of head and neck blood flow and Ultrasound of heart with color-depicted blood flow, rate, direction and valve function.
The practitioner is affiliated to the following hospital(s): RIVERVIEW MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER and MONMOUTH MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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