DR. NICOLE CHRISTINE MALLORY MD
NPI 1275809741
Pediatrics - Pediatric Hematology-Oncology in Long Branch, NJ

Q: What is Nicole Mallory's NPI number?

The NPI number for Nicole Mallory is 1275809741. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Nicole Mallory's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mallory was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2012PECOS Enrolled

300 2ND AVE, LONG BRANCH, NJ 07740(732) 923-7455(732) 923-7451 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2022, Aug 29, 2019 (2 updates tracked since 2019).

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About Dr. Nicole Christine Mallory Md NPPES

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

DR. NICOLE CHRISTINE MALLORY MD (NPI 1275809741) is an individual pediatric hematology-oncology provider in Long Branch, New Jersey, licensed in New Jersey (25MA10637200) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1275809741

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameDR. NICOLE CHRISTINE MALLORYCredential: MD

Location Address300 2ND AVELong Branch, NJ 07740-6303

Mailing Address300 2nd AveLong Branch, NJ 07740-6303 · (732) 923-7455 · Fax (732) 923-7451

Phone(732) 923-7455

Fax(732) 923-7451

Sole ProprietorNo

Enumeration DateMarch 28, 2012

Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1275809741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in NJ · 25MA10637200

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 25MA10637200 (NJ)

300 2ND AVE, Long Branch, NJ 07740

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Secondary Practice Location 1

Location 1160 E 32nd St Fl 3New York, NY 10016-6004 · Phone (212) 263-8400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Christine Mallory Md 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.

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.

ALEXANDRA M LASKOWSKI M.D.

Student in an Organized Health Care Education/Training Program

300 2ND AVE
LONG BRANCH, NJ 07740

Monmouth County (732) 923-7251

FLORENCE ARMOUR APN

Nurse Practitioner (Adult Health)

300 2ND AVE
LONG BRANCH, NJ 07740

Monmouth County (732) 923-6635

MICHELLE WOODFIELD MD

Student in an Organized Health Care Education/Training Program

300 2ND AVE
LONG BRANCH, NJ 07740

Monmouth County (732) 923-7251

DR. KARAN JAYESHKUMAR YAGNIK MD

Student in an Organized Health Care Education/Training Program

300 2ND AVE
LONG BRANCH, NJ 07740

Monmouth County (440) 403-5523

JULIE A CONTE CRNA

Nurse Anesthetist, Certified Registered

300 2ND AVE
LONG BRANCH, NJ 07740

Monmouth County (732) 222-5200

KATHLEEN STANIER NP

Nurse Practitioner

300 2ND AVE
LONG BRANCH, NJ 07740

Monmouth County (732) 222-5200

MICHAEL EAGAN MD

Emergency Medicine

300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740

Monmouth County (732) 923-8882

DR. TEE YIN TRACY TEO D.O

Student in an Organized Health Care Education/Training Program

300 2ND AVE
LONG BRANCH, NJ 07740

Monmouth County (631) 726-0409

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 Nicole Mallory's NPI number?

The NPI number for Nicole Mallory is 1275809741. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Nicole Mallory located?

Nicole Mallory practices at 300 2nd Ave, Long Branch, NJ 07740. The listed phone number is (732) 923-7455.

What is Nicole Mallory's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Nicole Mallory enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Mallory was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.