Mallory A Smallze
Nurse Practitioner in Fair Lawn, New Jersey
1053045203- Practice location
- 22-18 Broadway, Fair Lawn, NJ 07410-3016
- Phone
- 201-414-9840
- Fax
- —
- Last updated
- July 13, 2022
Mallory Anne Smallze is a Nurse Practitioner based in Fair Lawn, NJ. Mallory Anne Smallze practices in Fair Lawn, NJ. The NPI Number for Mallory Anne Smallze is 1053045203 and holds a License No. 26NJ01325700 (NJ). The current practice location address for Mallory Anne Smallze is 22-18 Broadway, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 201-414-9840.
Provider Profile Details
- NPI Number
- 1053045203
- Provider Name
- Mallory Anne Smallze
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22-18 Broadway, Fair Lawn, NJ 07410-3016
- Phone Number
- 201-414-9840
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 13, 2022
- Last Update Date
- July 13, 2022
- Certification Date
- July 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22-18 Broadway
Fair Lawn, NJ 07410-3016 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3016
- Phone Number
- 201-414-9840
Provider Business Mailing Address Details
- Address
- 13 Dorothy Ave
Rochelle Park, NJ 07662-3303 - City
- Rochelle Park
- State
- NJ
- Zip
- 07662-3303
- Phone Number
- 201-421-7757
License Information
- License Number
- 26NJ01325700
- License State
- NJ
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mallory A Smallze?
The NPI number of Mallory A Smallze is 1053045203. It was assigned on July 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Mallory A Smallze?
Mallory A Smallze is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ01325700.
Where does Mallory A Smallze practice?
The practice location is 22-18 Broadway, Fair Lawn, NJ 07410-3016. The office can be reached at 201-414-9840 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053045203 directly on the NPPES registry website.