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ERIC JAMES MALLACK M.D.
NPI 1730445180
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in New York, NY

Active since April 10, 2012PECOS Enrolled
100/100
CMS Quality Rating
505 E 70TH ST FL 3, NEW YORK, NY 10021(212) 746-3278 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730445180
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameERIC JAMES MALLACKCredential: M.D.
Location Address505 E 70TH ST FL 3New York, NY 10021
Mailing Address6201 Greenleigh Ave Fl 2Middle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 500-4266
Phone(212) 746-3278
Sole ProprietorNo
Enumeration DateApril 10, 2012
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1730445180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in MD · D97854✔ Licensed in NY · 277733
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

505 E 70TH ST FL 3, New York, NY 10021
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737
Location 241 7th StNorth Arlington, NJ 07031-4770 · Phone (201) 674-1834

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric James Mallack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician 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.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

DR. ELAINE BARFIELD M.D.
Pediatrics (Pediatric Gastroenterology)
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (646) 962-3869
ALEXIS FISSINGER RDN, CDN
Dietitian, Registered
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (949) 616-2839
SRISHTI NANGIA M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (212) 746-3278
KATHARINA D. GRAW-PANZER M.D.
Pediatrics (Pediatric Pulmonology)
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (646) 962-3410
DR. DEVORAH SEGAL M.D., PH.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (212) 746-3278
ATHANASIA BOULIARI M.D.
Student in an Organized Health Care Education/Training Program
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (646) 962-3442
ELIZABETH GUNCKLE CPNP-PC
Nurse Practitioner (Pediatrics)
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (646) 962-3442
DR. NATALIE SOMERA UY MD
Pediatrics (Pediatric Nephrology)
505 E 70TH ST FL 3
NEW YORK, NY 10021
New York County (646) 962-4324

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Mallack was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.