DEMARIO J MALONE
NPI 1346036456
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 16, 2025PECOS Enrolled
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130(215) 235-9600 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demario J Malone NPPES

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

DEMARIO J MALONE (NPI 1346036456) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1346036456
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEMARIO J MALONE
Location Address1412 FAIRMOUNT AVEPhiladelphia, PA 19130-2908
Mailing Address1412 Fairmount AvePhiladelphia, PA 19130-2908 · (215) 235-9600
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1346036456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1412 FAIRMOUNT AVE, Philadelphia, PA 19130

Secondary Practice Location 1

Location 1401 W Allegheny AvePhiladelphia, PA 19133-3644 · Phone (215) 291-2500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Demario J Malone 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.

Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Physician Assistant
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine (Adult Medicine)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker (Clinical)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Physician Assistant (Medical)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130

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 Demario Malone's NPI number?

The NPI number for Demario Malone is 1346036456. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Demario Malone located?

Demario Malone practices at 1412 Fairmount Ave, Philadelphia, PA 19130. The listed phone number is (215) 235-9600.

What is Demario Malone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Demario Malone enrolled in Medicare?

Yes. Demario Malone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Demario Malone was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.