ERIC JAMES MALLACK M.D.
NPI 1730445180
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in New York, NY
About Eric James Mallack M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC JAMES MALLACK M.D. (NPI 1730445180) is an individual neurology with special qualifications in child neurology provider in New York, New York, licensed in Maryland (D97854) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Kennedy Krieger Institute, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eric James Mallack M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Eric Mallack reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 980 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 220 clinicians in this Medicare group
Belcamp, MD 21017
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Middle River, MD 21220
- Reassigned Medicare billing, Maryland enrollment
- 352 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kennedy Krieger Institute
Childrens · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
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 Eric Mallack's NPI number?
The NPI number for Eric Mallack is 1730445180. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Eric Mallack located?
Eric Mallack practices at 505 E 70th St Fl 3, New York, NY 10021. The listed phone number is (212) 746-3278.
What is Eric Mallack's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Eric Mallack enrolled in Medicare?
Yes. Eric Mallack 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.
Which organizations bill Medicare for Eric Mallack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Mallack reassigns Medicare benefits to 4 organizations: Weill Medical College Of Cornell (New York, NY), Memorial Pediatric Group (New York, NY), Johns Hopkins University (Belcamp, MD) and Kennedy Krieger Associates (Middle River, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Mallack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Eric Mallack affiliated with any hospitals?
According to CMS data, Eric Mallack is affiliated with Kennedy Krieger Institute.
When was this NPI record last updated?
The NPPES record for Eric Mallack was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Eric James Mallack, M.D. · NPI 1730445180
Neurology with Special Qualifications in Child Neurology physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1730445180 (Entity type: Individual)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** D97854 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 E 70TH ST FL 3, New York, NY 10021
- **Phone:** (212) 746-3278
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Weill Medical College Of Cornell (NPI 1770892580, New York, NY); Memorial Pediatric Group (NPI 1750352381, New York, NY); Johns Hopkins University (NPI 1376342774, Belcamp, MD); Kennedy Krieger Associates (NPI 1841009842, Middle River, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** January 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730445180) · Data from the CMS NPPES public registry.