FREDERIC MALLEN, M.D., P.C. (NPI# 1457688343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457688343 |
Entity Type | Organization |
Organization Name | FREDERIC MALLEN, M.D., P.C. |
Practice Address |
3100 Princeton Pike Lawrenceville NJ 08648-2300 |
Practice Telephone | 6098960101 |
Practice Fax Number | 6098961492 |
Mailing Telephone | 6098960101 |
Mailing Fax Number | 6098961492 |
Enumeration Date | 2009-11-12 |
Last Update Date | 2010-03-17 |
Authorized Official Name | DR. FREDERIC J. MALLEN (PRESIDENT) |
Authorized Official Telephone | 6098960101 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | MA35918 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
3100 PRINCETON PIKE |
City | LAWRENCEVILLE |
State | NJ |
Zip Code | 08648-2300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205831807 | Eric Arvind Gomes | Internal Medicine | 3100 Princeton Pike, Lawrenceville, NJ 08648-2300 | 2005-06-20 |
1952943714 | Jsf Professional Counseling Services, LLC | Counselor | 3100 Princeton Pike, Building 1, Suite I, Lawrenceville, NJ 08648 | 2019-10-14 |
1902339112 | Gni Comprehensive Pain Management LLC | Pain Medicine | 3100 Princeton Pike, Bldg. 3, Ste. D, Lawrenceville, NJ 08648-2300 | 2017-04-05 |
1902340755 | Allison Rovillos | Registered Nurse | 3100 Princeton Pike, Suite 1-d, Lawrenceville, NJ 08648-2300 | 2016-12-13 |
1184073983 | Paulina B Levinzon | Counselor | 3100 Princeton Pike, Building 1, Suite I, Lawrenceville, NJ 08648-2300 | 2016-06-13 |
1942670443 | Sunrise Behavioral Health Care LLC | Social Worker | 3100 Princeton Pike, Bldg 3; Ste B, Lawrenceville, NJ 08648-2300 | 2015-09-28 |
1437539715 | Alison Steinhauser | Psychologist | 3100 Princeton Pike, Bdg 3 Suite B, Lawrenceville, NJ 08648-2300 | 2015-06-02 |
1073902524 | Princeton Healthcare Affiliated Physicians PC | Internal Medicine | 3100 Princeton Pike, Bldg 3, 3rd Floor, Lawrenceville, NJ 08648-2300 | 2015-01-21 |
1851716781 | Princeton Pain Management & Wellness, LLC | Clinic/Center | 3100 Princeton Pike, Suite 1-i, Lawrenceville, NJ 08648-2300 | 2014-03-01 |
1689951923 | Jordan S Faiman | Counselor | 3100 Princeton Pike, Bldg3, Suite B, Lawrenceville, NJ 08648 | 2011-11-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
Find all providers in zip 08648 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538412143 | Eye Care of Georgia | Ophthalmology | Eye Care of Georgia, 316 West Pike Street Ste 200, Lawrenceville, GA 30046 | 2012-10-19 |
1609005438 | Savian P. Nicholas | Ophthalmology | 20 Woodfield Ln, Lawrenceville, NJ 08648-1064 | 2009-07-14 |
1184804833 | Woolfson Eye Institute LLC | Ophthalmology | 1980 Riverside Pkwy, Suite 103, Lawrenceville, GA 30043-5943 | 2007-11-10 |
1417154956 | Eileen Wang | Ophthalmology | 601 Professional Dr Ste 300, Lawrenceville, GA 30046-7670 | 2007-06-28 |
1821168428 | Chittick Optical Inc | Ophthalmology | 1213 State Street, Lawrenceville, IL 62439-2332 | 2006-11-09 |
1205887239 | Mark G Haywood | Ophthalmology | 757 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-05-15 |
1881690956 | Darmakusuma Ie | Ophthalmology | 4 Princess Rd, Ste 101, Lawrenceville, NJ 08648-2322 | 2005-06-23 |
1225031453 | Steven Paul Ellis | Ophthalmology | 123 Franklin Corner Rd, Ste 207, Lawrenceville, NJ 08648-2526 | 2005-05-23 |
1932334968 | Lorraine Stanley Simonds | Ophthalmology | 601 Professional Dr, Suite 300, Lawrenceville, GA 30046-7698 | 2009-05-19 |
1366682072 | Jonathan Woolfson, Md PC | Ophthalmology | 1980 Riverside Pkwy, Suite 103, Lawrenceville, GA 30043-5943 | 2009-02-20 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 08648 |
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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.