MALLORY ANNE SMALLZE
NPI 1053045203
Nurse Practitioner in Fair Lawn, NJ
About Mallory Anne Smallze NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY ANNE SMALLZE (NPI 1053045203) is an individual nurse practitioner in Fair Lawn, New Jersey, licensed in New Jersey (26NJ01325700) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mallory Anne Smallze is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIRLAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
FAIR LAWN, NJ 07410
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mallory Smallze's NPI number?
The NPI number for Mallory Smallze is 1053045203. It was assigned to this individual provider in the NPPES registry on July 13, 2022.
Where is Mallory Smallze located?
Mallory Smallze practices at 22-18 Broadway, Fair Lawn, NJ 07410. The listed phone number is (201) 414-9840.
What is Mallory Smallze's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mallory Smallze enrolled in Medicare?
Yes. Mallory Smallze is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mallory Smallze was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mallory Anne Smallze · NPI 1053045203
Nurse Practitioner physician in Fair Lawn, New Jersey. Individual provider, active in the CMS NPPES registry since July 13, 2022.
## Identity
- **NPI:** 1053045203 (Entity type: Individual)
- **Enumerated:** July 13, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 26NJ01325700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 22-18 BROADWAY, Fair Lawn, NJ 07410-3016
- **Phone:** (201) 414-9840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 13, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1053045203) · Data from the CMS NPPES public registry.