AMANDA NICOLE MALLIA FNP-BC
NPI 1114776762
Nurse Practitioner - Family in Staten Island, NY

Active since May 16, 2024PECOS EnrolledAccepts Medicare Assignment
501 SEAVIEW AVE STE 201, STATEN ISLAND, NY 10305(718) 226-4940 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Nicole Mallia Fnp-bc NPPES

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

AMANDA NICOLE MALLIA FNP-BC (NPI 1114776762) is an individual family provider in Staten Island, New York, licensed in New York (353645) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114776762
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA NICOLE MALLIACredential: FNP-BC
Location Address501 SEAVIEW AVE STE 201Staten Island, NY 10305-3400
Mailing Address501 Seaview Ave Ste 201Staten Island, NY 10305-3400 · (718) 226-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 16, 2024
NPPES CertifiedMay 14, 2024
NPI 1114776762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 353645
501 SEAVIEW AVE STE 201, Staten Island, NY 10305

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Nicole Mallia Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244752152
PECOS Enrollment IDI20250320001509
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
501 SEAVIEW AVE STE 201
STATEN ISLAND, NY 10305
Neurological Surgery
501 SEAVIEW AVE STE 201
STATEN ISLAND, NY 10305

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 Amanda Mallia's NPI number?

The NPI number for Amanda Mallia is 1114776762. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Amanda Mallia located?

Amanda Mallia practices at 501 Seaview Ave Ste 201, Staten Island, NY 10305. The listed phone number is (718) 226-4940.

What is Amanda Mallia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Mallia enrolled in Medicare?

Yes. Amanda Mallia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amanda Mallia affiliated with any hospitals?

According to CMS data, Amanda Mallia is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Mallia was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.