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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,010 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Internal Medicine
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.

Which organization bills Medicare for Nicole Mallory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mallory reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.