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

  1. Home
  2. Psychiatry & Neurology
  3. NY
  4. Staten Island
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 NameDr Ali Imran Mallick
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location355 Bard Ave, Staten Island, New York
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1427615665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 320321 (New York)Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 320321 (New York)Secondary

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 NameMaimonides Department of Psychiatry Fpp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656710
PECOS PAC ID: 0042115487
Enrollment ID: O20031129000000
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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
Dr. Edward Rendon, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
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    
Alexandre B Blaivas, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 75 Vanderbilt Ave, Fifth Floor, Staten Island, NY 10304
Phone: 718-818-6131    
Dr. Sharon Greene, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-6279    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.