Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bhoosa Malliah, MD PA

Organization Adolescent Medicine (Internal Medicine) Physician · NPI 1639145436

Bhoosa Malliah, MD PA is an Adolescent Medicine (Internal Medicine) Physician in Bricktown, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

222 Jack Martin Blvd Ste E
Bricktown, NJ 08724-7772
Phone: (732) 840-8688
Fax: (732) 840-8480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0000X

Record details

NPI number1639145436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhoosa Malliah — Physician · (732) 840-8688
Other names Bhoosamalliah,Md
NPI enumeratedFebruary 23, 2006
Last updated in NPPESSeptember 20, 2007
Mailing address222 Jack Martin Blvd, Suite. E, Bricktown, NJ 08724-7772