JENNIFER MALLOY (NPI# 1972620227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972620227 |
| Entity Type | Individual |
| Full Name | JENNIFER MALLOY |
| Credential | CRNP |
| Practice Address |
3322 N Broad St Philadelphia PA 19140-5185 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157071800 |
| Practice Fax Number | 2157073644 |
| Mailing Telephone | 2157071800 |
| Mailing Fax Number | 2157073644 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CW015068 | PA | Behavioral Health & Social Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP017051 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392612 | Jennifer Aide Malloy | Acupuncturist | 2401 Pga Blvd Ste 248, Palm Beach Gardens, FL 33410-3515 | 2017-08-21 |
| 1144714833 | Jennifer L Malloy | Chiropractor | 418 Chestnut St, Union, NJ 07083-9306 | 2018-06-18 |
| 1265983563 | Jennifer A Malloy | Physician Assistant | 1700 Peach St, Suite 200, Erie, PA 16501-2134 | 2016-10-21 |
| 1275906059 | Jennifer Malloy | Dentist | 86th Medical Group, Ramstein Ab, Germany, Apo, AE 09012 | 2015-11-03 |
| 1962749853 | Jennifer Brown Malloy | Pharmacist | 2015 Edgewater Dr, Orlando, FL 32804-5311 | 2013-01-11 |
| 1770871055 | Jennifer Nora Malloy | Counselor | 1620 Cummins Dr, Modesto, CA 95358-6400 | 2011-07-20 |
| 1114008554 | Jennifer Rebecca Malloy | Physician Assistant | 2255 S Bascom Ave, Suite 200, Campbell, CA 95008-7800 | 2006-10-18 |
| Street Address |
3322 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023005949 | Alisa Peet | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2005-10-05 |
| 1063072528 | Joseph Noto | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2019-06-17 |
| 1497315162 | James Gabriel Ruggero | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2019-06-16 |
| 1073095915 | Temple Faculty Practice Plan Inc | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1982134789 | Marina Baskharoun | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2017-06-14 |
| 1316476484 | Rithika Ramakrishnan | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2017-06-12 |
| 1083143507 | Syed Muhammad Mustafa Zaidi | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2017-06-08 |
| 1194253500 | Andrew Lawrence Wickerham | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2017-05-30 |
| 1275069395 | Rachel Snyder | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2017-05-10 |
| 1881126365 | Merritt Parker Edlind | Student in an Organized Health Care Education/Training Program | 3322 N Broad St, Philadelphia, PA 19140-5185 | 2017-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1205306545 | Vadim Selyukov | Nurse Practitioner | 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 | 2018-11-29 |
| 1619420940 | Bridget Mccoy | Nurse Practitioner | 4929 Cedar Ave, Philadelphia, PA 19143-2013 | 2016-08-03 |
| 1003265489 | Stephanie Hand | Nurse Practitioner | 2409 Bainbridge St, Philadelphia, PA 19146-1014 | 2016-06-07 |
| 1679929095 | Michelle Marowitz | Nurse Practitioner | 3401 Civic Center Blvd Fl 11, Philadelphia, PA 19104 | 2016-05-05 |
| 1366834855 | Mary Morris | Nurse Practitioner | 1538 S 56th St, Philadelphia, PA 19143-4737 | 2015-02-20 |
| 1174920086 | Frances Garbarino | Nurse Practitioner | 501 S 53rd St, Philadelphia, PA 19143 | 2014-11-21 |
| 1033551130 | Mollie Evelyn Wilson | Nurse Practitioner | 5820 W Girard Ave, Philadelphia, PA 19131-4850 | 2013-07-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on JENNIFER MALLOY.
| 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.