MALLORY ENG BURGER MS, CPNP
NPI 1104116763
Nurse Practitioner - Pediatrics in New Square, NY

Active since April 15, 2011
728 N MAIN ST, NEW SQUARE, NY 10977(845) 354-9033 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Eng Burger Ms, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY ENG BURGER MS, CPNP (NPI 1104116763) is an individual pediatrics provider in New Square, New York, licensed in New York (382293) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1104116763
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMALLORY ENG BURGERCredential: MS, CPNP
Location Address728 N MAIN STNew Square, NY 10977-8916
Mailing Address728 N Main StNew Square, NY 10977-8916 · (845) 354-9033
Sole ProprietorNo
Enumeration DateApril 15, 2011
Last NPPES UpdateOctober 12, 2012
NPI 1104116763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in NY · 382293 Licensed in MD · R195051
Also ListedRegistered NurseTaxonomy 163W00000X · License R195051 (MD), 617014 (NY)
728 N MAIN ST, New Square, NY 10977

Other Identifiers 3

Medicaid119591300MD
Medicare OSCAR/certification211876
Medicare PINS118

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.

Pediatrics
728 N MAIN ST
NEW SQUARE, NY 10977
Internal Medicine (Medical Oncology)
728 N MAIN ST
NEW SQUARE, NY 10977
Psychiatry & Neurology (Child & Adolescent Psychiatry)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Dentist (Orthodontics and Dentofacial Orthopedics)
728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977
Dentist
728 N MAIN ST
NEW SQUARE, NY 10977
Psychiatry & Neurology (Psychiatry)
728 N MAIN ST
NEW SQUARE, NY 10977
Dentist (Endodontics)
728 N MAIN ST
NEW SQUARE, NY 10977
Physician Assistant
728 N MAIN ST
NEW SQUARE, NY 10977

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 Eng Burger's NPI number?

The NPI number for Mallory Eng Burger is 1104116763. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Mallory Eng Burger located?

Mallory Eng Burger practices at 728 N Main St, New Square, NY 10977. The listed phone number is (845) 354-9033.

What is Mallory Eng Burger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mallory Eng Burger was last updated on October 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.