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MALLORY AYN PRIDEAUX M.D.
NPI 1265859771
Pediatrics - Neonatal-Perinatal Medicine in Rochester, NY

Active since March 21, 2014PECOS Enrolled
601 ELMWOOD AVE # 651, ROCHESTER, NY 14642(585) 275-6197 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2023, Feb 23, 2023, Dec 13, 2017 (3 updates tracked since 2017).

About Mallory Ayn Prideaux M.d. NPPES

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

MALLORY AYN PRIDEAUX M.D. (NPI 1265859771) is an individual neonatal-perinatal medicine provider in Rochester, New York, licensed in New York (288220) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265859771
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMALLORY AYN PRIDEAUXCredential: M.D.
Location Address601 ELMWOOD AVE # 651Rochester, NY 14642-2916
Mailing Address601 Elmwood Ave # 651Rochester, NY 14642-0001 · (585) 275-1847
Phone(585) 275-6197
Sole ProprietorNo
Enumeration DateMarch 21, 2014
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1265859771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 288220
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

601 ELMWOOD AVE # 651, Rochester, NY 14642
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Ayn Prideaux M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Prideaux's NPI number?

The NPI number for Mallory Prideaux is 1265859771. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Where is Mallory Prideaux located?

Mallory Prideaux practices at 601 Elmwood Ave # 651, Rochester, NY 14642. The listed phone number is (585) 275-6197.

What is Mallory Prideaux's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mallory Prideaux enrolled in Medicare?

Yes. Mallory Prideaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Prideaux was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.