MALLORY NAKAMURA PA
NPI 1558994574
Physician Assistant - Medical in Bethpage, NY
About Mallory Nakamura Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY NAKAMURA PA (NPI 1558994574) is an individual medical provider in Bethpage, New York, licensed in New York (024639) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Nakamura Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BETHPAGE, NY 11714
BETHPAGE, NY 11714
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 Nakamura's NPI number?
The NPI number for Mallory Nakamura is 1558994574. It was assigned to this individual provider in the NPPES registry on February 18, 2020.
Where is Mallory Nakamura located?
Mallory Nakamura practices at 4295 Hempstead Tpke, Bethpage, NY 11714. The listed phone number is (516) 579-6000.
What is Mallory Nakamura's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Mallory Nakamura enrolled in Medicare?
Yes. Mallory Nakamura is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mallory Nakamura was last updated on December 3, 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.
# Mallory Nakamura, PA · NPI 1558994574
Medical physician in Bethpage, New York. Individual provider, active in the CMS NPPES registry since February 18, 2020.
## Identity
- **NPI:** 1558994574 (Entity type: Individual)
- **Enumerated:** February 18, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 024639 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4295 HEMPSTEAD TPKE, Bethpage, NY 11714-5713
- **Phone:** (516) 579-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558994574) · Data from the CMS NPPES public registry.