Active NPIIndividual provider

Kelley W Mali, PA-C

Physician Assistant in Belleville, New Jersey

NPI Number1477811032
Practice location
50 Newark Ave, Suite 205, Belleville, NJ 07109-1185
Fax
—
Last updated
September 20, 2017

Kelley Wachter Mali is a Physician Assistant based in Belleville, NJ. Kelley Wachter Mali practices in Belleville, NJ and has the professional credentials of PA-C. The NPI Number for Kelley Wachter Mali is 1477811032 and holds a License No. 25MP00280600 (NJ). The current practice location address for Kelley Wachter Mali is 50 Newark Ave, Suite 205, Belleville, NJ 07109-1185 and can be reached out via phone at 973-429-2209.

Provider Profile Details

NPI Number
1477811032
Provider Name
Kelley Wachter Mali
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
50 Newark Ave, Suite 205, Belleville, NJ 07109-1185
Phone Number
973-429-2209
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2012
Last Update Date
September 20, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Newark Ave
Suite 205
Belleville, NJ 07109-1185
Zip
07109-1185
Phone Number
973-429-2209
Belleville, NJ 07109Get directions →

Provider Business Mailing Address Details

Address
72 Yorkshire Dr
Cedar Grove, NJ 07009-2036
City
Cedar Grove
State
NJ
Zip
07009-2036
Phone Number
908-399-3506

License Information

License Number
25MP00280600
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kelley W Mali, PA-C?

The NPI number of Kelley W Mali, PA-C is 1477811032. It was assigned on May 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Kelley W Mali, PA-C?

Kelley W Mali, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00280600.

Where does Kelley W Mali, PA-C practice?

The practice location is 50 Newark Ave, Suite 205, Belleville, NJ 07109-1185. The office can be reached at 973-429-2209 (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 1477811032 directly on the NPPES registry website.

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