MARY MALLAVARAPU MD
NPI 1124252705
Pediatrics in New City, NY

Q: What is Mary Mallavarapu MD's NPI number?

The NPI number for Mary Mallavarapu MD is 1124252705. It was assigned to this organization in the NPPES registry on May 11, 2009.

Q: What is Mary Mallavarapu MD's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 11, 2009

100 PHILLIPS HILL RD, NEW CITY, NY 10956(845) 634-0068 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Mallavarapu Md NPPES

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

MARY MALLAVARAPU MD (NPI 1124252705) is a healthcare organization registered as a pediatrics in New City, New York and active in the NPI registry since May 2009. The organization lists Anita Soares, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124252705

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMARY MALLAVARAPU MD

Location Address100 PHILLIPS HILL RDNew City, NY 10956-4134

Mailing Address971 Route 45, Suite 112Pomona, NY 10970-3500 · (845) 354-8054 · Fax (845) 354-1807

Phone(845) 634-0068

Organization SubpartYes

Authorized OfficialAnita SoaresOffice Manager · (845) 634-0068

Enumeration DateMay 11, 2009

✔ NPI 1124252705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 121643

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

100 PHILLIPS HILL RD, New City, NY 10956

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Other Identifiers 2

Medicaid00515435NY

Medicare UPINB19067NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

LORETTA JEAN STOPA FNP

Nurse Practitioner