Dr. Nicole C Mallory, MD
Pediatrics, Pediatric Hematology-Oncology in Long Branch, New Jersey
1275809741- Practice location
- 300 2ND Ave, Long Branch, NJ 07740-6303
- Phone
- 732-923-7455
- Fax
- 732-923-7451
- Last updated
- September 6, 2022
Nicole Christine Mallory is a Pediatrics, Pediatric Hematology-Oncology based in Long Branch, NJ. Nicole Christine Mallory practices in Long Branch, NJ and has the professional credentials of MD. The NPI Number for Nicole Christine Mallory is 1275809741 and holds a License No. 25MA10637200 (NJ). The current practice location address for Nicole Christine Mallory is 300 2ND Ave, Long Branch, NJ 07740-6303 and can be reached out via phone at 732-923-7455 and via fax at 732-923-7451.
Provider Profile Details
- NPI Number
- 1275809741
- Provider Name
- Nicole Christine Mallory
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 2ND Ave, Long Branch, NJ 07740-6303
- Phone Number
- 732-923-7455
- Fax Number
- 732-923-7451
- Primary Taxonomy
- Pediatrics, Pediatric Hematology-Oncology · 2080P0207X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 28, 2012
- Last Update Date
- September 6, 2022
- Certification Date
- September 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - City
- Long Branch
- State
- New Jersey
- Zip
- 07740-6303
- Phone Number
- 732-923-7455
- Fax Number
- 732-923-7451
Provider Business Mailing Address Details
- Address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - City
- Long Branch
- State
- NJ
- Zip
- 07740-6303
- Phone Number
- 732-923-7455
- Fax Number
- 732-923-7451
License Information
- License Number (1)
- 25MA10637200
- License State (1)
- NJ
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 25MA10637200
- License State (2)
- NJ
- Taxonomy (2)
- Pediatrics, Pediatric Hematology-Oncology · 2080P0207X · 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 Dr. Nicole C Mallory, MD?
The NPI number of Dr. Nicole C Mallory, MD is 1275809741. It was assigned on March 28, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Nicole C Mallory, MD?
Dr. Nicole C Mallory, MD is registered under the primary taxonomy Pediatrics, Pediatric Hematology-Oncology (code 2080P0207X), licensed in NJ under license number 25MA10637200.
Where does Dr. Nicole C Mallory, MD practice?
The practice location is 300 2ND Ave, Long Branch, NJ 07740-6303. The office can be reached at 732-923-7455 (phone) or 732-923-7451 (fax).
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 1275809741 directly on the NPPES registry website.