DR. NICOLE CHRISTINE MALLORY (NPI# 1275809741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275809741 |
| Entity Type | Individual |
| Full Name | DR. NICOLE CHRISTINE MALLORY |
| Credential | MD |
| Practice Address |
300 2nd Ave Long Branch NJ 07740-6303 |
| Practice Telephone | 7329237455 |
| Practice Fax Number | 7329237451 |
| Mailing Telephone | 7329237455 |
| Mailing Fax Number | 7329237451 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 25MA10637200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
25MA10637200 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069902 | Nicole Mallory | Counselor | 4309 Linglestown Rd, Harrisburg, PA 17112-8624 | 2019-11-27 |
| 1578991121 | Nicole Mallory | Physician Assistant | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-10-17 |
| 1861751463 | Nicole Sarell Mallory | Physical Therapist | 875 W Poplar Ave Ste 18, Collierville, TN 38017-2568 | 2012-05-16 |
| 1578734844 | Nicole M Mallory | Physician Assistant | 28800 Ryan Rd, Warren, MI 48092-4272 | 2008-03-14 |
| Street Address |
300 2ND AVE |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246048 | Kathleen L Mcdonald | Radiology | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2005-06-27 |
| 1992302798 | Shannon Margaret Kirk | Nurse Practitioner | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-10-05 |
| 1487267241 | Poonam Raut | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-30 |
| 1356952261 | Arundhati Chandini Arjun | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-13 |
| 1811507395 | Charmee Hitesh Vyas | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-09 |
| 1235749839 | Tiwadayo Sam-odusina | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-07 |
| 1740890508 | Rama Maghnam | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-06 |
| 1831708239 | Kimberly Lily Pereira | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-31 |
| 1407465818 | Niharika Podaralla | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-31 |
| 1003425505 | Michelle Woodfield | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058851 | Craig L Tendler | Pediatrics | 920 Route 202, Raritan, NJ 08869-1420 | 2013-03-30 |
| 1093948606 | Lewis J Cohen | Pediatrics | 2 Richmond Dr, Basking Ridge, NJ 07920-4242 | 2009-08-30 |
| 1932356169 | Richard S. Ungerleider | Pediatrics | 22 Bayside Dr, Atlantic Highlands, NJ 07716-1735 | 2008-08-19 |
| 1598923096 | Archana Sharma | Pediatrics | 195 Little Albany St Rm 3507, Cancer Insitute of Nj, New Brunswick, NJ 08901-1914 | 2008-05-30 |
| 1043486640 | Amirtha Naadimuthu | Pediatrics | 19 Cheyenne Dr, Pennington, NJ 08534-5124 | 2008-05-03 |
| 1235302001 | Sergio Piomelli | Pediatrics | 599 Overlook Pl, Englewood, NJ 07631-5104 | 2008-04-11 |
| 1174698096 | Jennifer Anne Krajewski | Pediatrics | 30 Prospect Ave, Wfan Bldg, 1st Floor, Office 137, Hackensack University Medical Center, Hackensack, NJ 07601 | 2006-11-24 |
| 1699744037 | Michael B Harris | Pediatrics | Hackensack University Medical Center, PC116, 30 Prospect Ave, Hackensack, NJ 07601 | 2006-03-17 |
| 1245673912 | Kathryn Loughlin Laurie | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2013-04-12 |
| 1205178787 | Andrew Mitchell Silverman | Pediatrics | 19 Davis Ave Fl 5, Neptune, NJ 07753-4488 | 2013-03-21 |
| Find all providers with the same taxonomy | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.