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MALLAPPA NANJAPPA PRABHU M.D
NPI 1265508238
Family Medicine - Adult Medicine in Greystone Park, NJ

Active since November 28, 2006
1 CENTRAL AVENUE, GREYSTONE PARK PSYCHIATRIC HOSPITAL, GREYSTONE PARK, NJ 07950(973) 538-1800(973) 993-9081 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallappa Nanjappa Prabhu M.d NPPES

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

MALLAPPA NANJAPPA PRABHU M.D (NPI 1265508238) is an individual adult medicine provider in Greystone Park, New Jersey, licensed in New Jersey (026220) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1265508238
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameMALLAPPA NANJAPPA PRABHUCredential: M.D
Location Address1 CENTRAL AVENUE, GREYSTONE PARK PSYCHIATRIC HOSPITALGreystone Park, NJ 07950
Mailing Address2 Hilary TerSuccasunna, NJ 07876-1055 · (973) 584-7752
Phone(973) 538-1800
Fax(973) 993-9081
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265508238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NJ · 026220
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1 CENTRAL AVENUE, Greystone Park, NJ 07950
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Other Identifiers 2

Medicare UPINE13563NJ
Medicare ID-Type UnspecifiedPR544388NJ

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 Mallappa Prabhu's NPI number?

The NPI number for Mallappa Prabhu is 1265508238. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Mallappa Prabhu located?

Mallappa Prabhu practices at 1 Central Avenue Greystone Park Psychiatric Hospital, Greystone Park, NJ 07950. The listed phone number is (973) 538-1800.

What is Mallappa Prabhu's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Mallappa Prabhu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.