DR. MALKAH DOBA TIEFENBRUN (DNP) – Emergency Medicine Physician, NPI 1275293268

DR. MALKAH DOBA TIEFENBRUN (DNP) is a healthcare provider. based in Elizabeth, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 26NJ01239100 (NJ). The NPI Number for DR. MALKAH DOBA TIEFENBRUN (DNP) is 1275293268

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALKAH DOBA TIEFENBRUN (DNP)
NPI
1275293268
Phone
(718) 839-5592
Address
530 RIVERSIDE DR
Enumeration Date
18 December 2021
Last Update Date
9 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7323217000
Graduation Year
2021 (5 years ago)
PAC ID
5597158022
Group Practice PAC ID
9931002854
Professional Enrollment ID
I20220207000026
Address ID
NJ088183903ED65XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:4State licenses:3Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for DR. MALKAH DOBA TIEFENBRUN (DNP)

  • 530 RIVERSIDE DR

    ELIZABETH, NJ 072082117

    Phone: (718) 839-5592

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220207000026INurse PractitionerNJTBD
I20250415003303INurse PractitionerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making8078$0
99284Emergency department visit with moderate level of medical decision making4444$0
View full utilization report →

Insurance plans in this area (ZIP 07208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931002854View full group profile
NameSpecialtyState
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicineGA
Emergency MedicineNY
-NJ
Pediatric Medicine, Emergency MedicineNJ
Emergency Medicine, Internal MedicineNJ
Emergency Medicine, Internal MedicineNJ
-NY

Reviews

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Frequently asked questions

How do I look up DR. MALKAH DOBA TIEFENBRUN (DNP) by NPI?
Use NPI 1275293268 when you need to reference DR. MALKAH DOBA TIEFENBRUN (DNP) in forms, claims, or directories.
Is DR. MALKAH DOBA TIEFENBRUN (DNP) active in the national directory?
DR. MALKAH DOBA TIEFENBRUN (DNP)'s public NPI profile is in an active state.
Can you summarize DR. MALKAH DOBA TIEFENBRUN (DNP)'s specialty in plain language?
Clinically, the directory lists DR. MALKAH DOBA TIEFENBRUN (DNP) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MALKAH DOBA TIEFENBRUN (DNP)?
The page summarizes Elizabeth, New Jersey for DR. MALKAH DOBA TIEFENBRUN (DNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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