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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mallory Anne Smallze is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mallory Smallze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- 849 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Mallory Smallze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Smallze reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Smallze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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
- **Bills Medicare through:** Medical Associates Of Englewood, PC (NPI 1952681918, Englewood, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1053045203) · Data from the CMS NPPES public registry.