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MALLARD PROFESSIONAL SERVICES INC
NPI 1699455519
Family Medicine in Massapequa, NY

Active since July 25, 2023
5550 MERRICK RD, MASSAPEQUA, NY 11758(516) 814-2900(631) 673-1314 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallard Professional Services Inc NPPES

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

MALLARD PROFESSIONAL SERVICES INC (NPI 1699455519) is a healthcare organization registered as a family medicine in Massapequa, New York and active in the NPI registry since July 2023. The organization lists Donna Scoca, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1699455519
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMALLARD PROFESSIONAL SERVICES INC
Location Address5550 MERRICK RDMassapequa, NY 11758-6238
Mailing Address5550 Merrick RdMassapequa, NY 11758-6238 · (516) 814-2900 · Fax (631) 673-1314
Phone(516) 814-2900
Fax(631) 673-1314
Organization SubpartNo
Authorized OfficialDonna ScocaCredentialing · (631) 673-3233
Enumeration DateJuly 25, 2023
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1699455519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
5550 MERRICK RD, Massapequa, NY 11758
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

MARGARET WELLS MT-BC
Counselor (Mental Health)
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (631) 673-3233
EVOLVE PHYSICIANS, PC
Clinic/Center (Primary Care)
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (631) 673-2333
KELLY ANN ANTIMISIARIS
Nurse Practitioner (Psychiatric/Mental Health)
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (631) 773-1096
GABRIELLE SARAH BELLAMENTE
Social Worker
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (631) 673-3233
MARISSA TAYLOR
Nurse Practitioner (Psychiatric/Mental Health)
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (631) 673-1314
SHANNON MARIE SWIERAT LMSW
Social Worker
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (315) 601-8749
MISS KATIE LYNN MADLEN PA-C
Physician Assistant
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (631) 673-3233
SABRINA ISLAM LMSW
Social Worker
5550 MERRICK RD
MASSAPEQUA, NY 11758
Nassau County (631) 673-3233

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 Mallard Professional Services Inc's NPI number?

The NPI number for Mallard Professional Services Inc is 1699455519. It was assigned to this organization in the NPPES registry on July 25, 2023.

Where is Mallard Professional Services Inc located?

Mallard Professional Services Inc is located at 5550 Merrick Rd, Massapequa, NY 11758. The listed phone number is (516) 814-2900.

What is Mallard Professional Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mallard Professional Services Inc was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.