Dr Ali Imran Mallick, in Staten Island, NY - Medicare Psychiatry & Neurology

Dr Ali Imran Mallick, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Staten Island, New York. His current practice location is 355 Bard Ave, Department Of Psychiatry, 1st Floor, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 818-4121.

Dr Ali Imran Mallick is licensed to practice in New York (license number 320321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427615665.

Contact Information

	Dr Ali Imran Mallick,
	355 Bard Ave, Department Of Psychiatry, 1st Floor, Staten Island, NY 10310
	(718) 818-4121
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ali Imran Mallick
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	355 Bard Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427615665
Provider Enumeration Date: 05/23/2019
Last Update Date: 09/16/2025

Medicare PECOS Information:

PECOS PAC ID: 7618348491
Enrollment ID: I20250110002661

Medical Identifiers

Medical identifiers for Dr Ali Imran Mallick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427615665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	320321 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	320321 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ali Imran Mallick allows following entities to bill medicare on his behalf.

Entity Name	Maimonides Department Of Psychiatry Fpp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656710 PECOS PAC ID: 0042115487 Enrollment ID: O20031129000000

Entity Name	Maimonides Faculty Practice Plan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597

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. Dr Ali Imran Mallick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ali Imran Mallick, 7534 193rd St, Fresh Meadows, NY 11366-1834 Ph: (917) 650-9930	Dr Ali Imran Mallick, 355 Bard Ave, Department Of Psychiatry, 1st Floor, Staten Island, NY 10310 Ph: (718) 818-4121

Reviews and Comments

Psychiatry & Neurology Doctors in Staten Island, NY

Narendra N Patel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 Bryson Ave, Staten Island, NY 10314 Phone: 718-370-7439 Fax: 908-322-4567
Dr. Robert Seth Jutkowitz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 78 Todt Hill Rd, Staten Island, NY 10314 Phone: 718-442-7133 Fax: 718-442-6970
Dr. Edna Aurelus, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 15 Ebony Street, Staten Island, NY 10306 Phone: 480-427-1430
Angelina Reperoga Decastro, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 36a Grandview Ave, Staten Island, NY 10303 Phone: 917-817-4836 Fax: 718-445-6545
Elina Slobod, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-2824
Dr. Edward Rendon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-6279
Raisa Vernovsky, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 777 Seaview Ave, Staten Island, NY 10305 Phone: 718-667-2300

Dr Ali Imran Mallick, - Medicare Psychiatry & Neurology in Staten Island, NY