Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MALLORY CRYSTAL VASQUEZ
NPI 1336057983
Nurse Practitioner - Acute Care in Brooklyn, NY

Q: What is Mallory Vasquez's NPI number?

The NPI number for Mallory Vasquez is 1336057983. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Q: What is Mallory Vasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Vasquez was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 September 01, 2026PECOS Enrolled

1481 MCDONALD AVE, BROOKLYN, NY 11230(347) 304-7167 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mallory Crystal Vasquez NPPES

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

MALLORY CRYSTAL VASQUEZ (NPI 1336057983) is an individual acute care provider in Brooklyn, New York, licensed in New York (F433682-01) and active in the NPI registry since September 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336057983

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMALLORY CRYSTAL VASQUEZ

Location Address1481 MCDONALD AVEBrooklyn, NY 11230-4667

Mailing Address44 Bement AveStaten Island, NY 10310-1501

Phone(347) 304-7167

Sole ProprietorYes

Enumeration DateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1336057983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F433682-01

1481 MCDONALD AVE, Brooklyn, NY 11230

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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 Crystal Vasquez 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

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