MARY MALLAVARAPU MD
NPI 1669606547
Pediatrics in Pomona, NY

Active since May 07, 2009
971 ROUTE 45, SUITE 112, POMONA, NY 10970(845) 354-8054(845) 354-1807 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Mallavarapu Md NPPES

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

MARY MALLAVARAPU MD (NPI 1669606547) is a healthcare organization registered as a pediatrics in Pomona, New York and active in the NPI registry since May 2009. The organization lists Anita Soares, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669606547
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMARY MALLAVARAPU MD
Location Address971 ROUTE 45, SUITE 112Pomona, NY 10970-3500
Mailing Address971 Route 45, Suite 112Pomona, NY 10970-3500 · (845) 354-8054 · Fax (845) 354-1807
Fax(845) 354-1807
Organization SubpartYes
Authorized OfficialAnita SoaresOffice Manager · (845) 354-8054
Enumeration DateMay 7, 2009
NPI 1669606547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 121643
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

971 ROUTE 45, Pomona, NY 10970

Other Identifiers 2

Medicare UPINB19067NY
Medicaid00515435NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
971 ROUTE 45, SUITE 116
POMONA, NY 10970
Social Worker (Clinical)
971 ROUTE 45, SUITE 116
POMONA, NY 10970
Chiropractor
971 ROUTE 45, SUITE 106
POMONA, NY 10970
Dentist (Periodontics)
971 ROUTE 45, SUITE 208
POMONA, NY 10970
Psychologist
971 ROUTE 45, SUITE 216
POMONA, NY 10970
Family Medicine
971 ROUTE 45, SUITE 204
POMONA, NY 10970
Dentist
971 ROUTE 45, SUITE 102
POMONA, NY 10970
Family Medicine
971 ROUTE 45, STE 204
POMONA, NY 10970

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 Mary Mallavarapu MD's NPI number?

The NPI number for Mary Mallavarapu MD is 1669606547. It was assigned to this organization in the NPPES registry on May 7, 2009.

Where is Mary Mallavarapu MD located?

Mary Mallavarapu MD is located at 971 Route 45 Suite 112, Pomona, NY 10970. The listed phone number is (845) 354-8054.

What is Mary Mallavarapu MD's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mary Mallavarapu MD was last updated on May 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.