JONATHAN R MALLEN (NPI# 1588663140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588663140 |
| Entity Type | Individual |
| Full Name | JONATHAN R MALLEN |
| Credential | MD |
| Practice Address |
36 Lincoln Ave Rockville Centre NY 11570-5768 |
| Mailing Address |
165 N Village Ave Suite 128 Rockville Centre NY 11570-3761 |
| Practice Telephone | 5165362800 |
| Practice Fax Number | 5163028182 |
| Mailing Telephone | 5165362800 |
| Mailing Fax Number | 5163028182 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
217086 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396132478 | Jonathan Mallen | Otolaryngology | 263 Farmington Ave, Farmington, CT 06030-8083 | 2015-04-16 |
| Street Address |
36 LINCOLN AVE |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-5768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939582 | Isaac Cohen | Orthopaedic Surgery | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2005-06-01 |
| 1861036683 | North American Partners In Pain Management LLP | Clinic/Center | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2019-11-05 |
| 1942635206 | Caroline Briglio | Physician Assistant | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2013-09-05 |
| 1881940880 | Laura Michel | Physician Assistant | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2012-07-27 |
| 1104181585 | Megan Elizabeth Orbon | Physician Assistant | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2012-07-11 |
| 1104189406 | Khawaja Ali Hassan, Physician, PC | Surgery | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2012-06-21 |
| 1760701213 | Annemarie Lamneck | Physician Assistant | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2010-05-24 |
| 1730313487 | Frances P Bruno | Anesthesiology | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2009-05-11 |
| 1407022072 | South Shore Cosmetic Surgeons LLC | Specialist | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2008-05-05 |
| 1457525321 | Bennett Howard Brown | Orthopaedic Surgery | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2008-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633719 | Gregory Lieberman | Orthopaedic Surgery | 36 Lincoln Avenue, Rockville Centre, NY 11570-5768 | 2005-07-18 |
| 1215938402 | Alpesh D. Shah | Orthopaedic Surgery | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2005-08-10 |
| 1861491045 | Eric M Price | Orthopaedic Surgery | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2005-07-19 |
| 1942209507 | Craig Lawrence Levitz | Orthopaedic Surgery | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057347 | Viorika Chebotaru | Orthopaedic Surgery | 626 Sheepshead Bay Rd, Brooklyn, NY 11224-3602 | 2019-11-11 |
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1891258349 | Empire Ny Orthopedics PC | Orthopaedic Surgery | 22215 Northern Blvd Ste Lobbya, Bayside, NY 11361-3678 | 2019-04-11 |
| 1821566688 | Chelsea Rose Weir | Orthopaedic Surgery | 379 Oakwood Rd Ste C, Huntington Station, NY 11746-7203 | 2018-11-08 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1992201222 | Scott Adam Weiss Md PC | Orthopaedic Surgery | 672 Harless Pl, West Hempstead, NY 11552-3504 | 2018-04-04 |
| 1467965095 | Melissa Pei-lih Mau | Orthopaedic Surgery | 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042-1113 | 2017-11-06 |
| 1821476698 | Stephanie M Macdonald | Orthopaedic Surgery | 1672 Empire Blvd Ste 100, Webster, NY 14580-2199 | 2015-05-13 |
| 1710380118 | Stony Brook University | Orthopaedic Surgery | Toll Dr Bldg 39, Stony Brook, NY 11794-0001 | 2014-09-30 |
| 1083029623 | Michael J. Katz Md PC | Orthopaedic Surgery | 14653 Delaware Ave, Flushing, NY 11355-2182 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.