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PRASANNA MALLA MD
NPI 1629319157
Student in an Organized Health Care Education/Training Program in Englewood, NJ

Active since March 07, 2013PECOS EnrolledAccepts Medicare Assignment
276 ENGLE ST, APT 9B, ENGLEWOOD, NJ 07631(201) 681-8476 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prasanna Malla Md NPPES

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

PRASANNA MALLA MD (NPI 1629319157) is an individual student in an organized health care education/training program in Englewood, New Jersey and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629319157
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRASANNA MALLACredential: MD
Location Address276 ENGLE ST, APT 9BEnglewood, NJ 07631-2441
Mailing Address276 Engle St, Apt 9bEnglewood, NJ 07631-2441 · (201) 681-8476
Phone(201) 681-8476
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 7, 2013
Last NPPES UpdateDecember 15, 2021
✔ NPI 1629319157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
276 ENGLE ST, Englewood, NJ 07631
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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 and accepts Medicare assignment

Prasanna Malla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305072638
PECOS Enrollment IDI20131115000252
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.

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 Prasanna Malla's NPI number?

The NPI number for Prasanna Malla is 1629319157. It was assigned to this individual provider in the NPPES registry on March 7, 2013.

Where is Prasanna Malla located?

Prasanna Malla practices at 276 Engle St Apt 9B, Englewood, NJ 07631. The listed phone number is (201) 681-8476.

What is Prasanna Malla's specialty?

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

Is Prasanna Malla enrolled in Medicare?

Yes. Prasanna Malla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Prasanna Malla was last updated on December 15, 2021. 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.