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TIMOTHY MALLON
NPI 1871121665
Student in an Organized Health Care Education/Training Program in Fairfield, CT

Active since March 29, 2020
5151 PARK AVE, FAIRFIELD, CT 06825(203) 371-7999 Get Directions Write a Review

NPPES record last updated: March 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Mallon NPPES

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

TIMOTHY MALLON (NPI 1871121665) is an individual student in an organized health care education/training program in Fairfield, Connecticut and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1871121665
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY MALLON
Location Address5151 PARK AVEFairfield, CT 06825-1090
Mailing Address98 Forest AveMassapequa, NY 11758-7807
Phone(203) 371-7999
Sole ProprietorNo
Enumeration DateMarch 29, 2020
NPPES CertifiedMarch 29, 2020
✔ NPI 1871121665 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.
5151 PARK AVE, Fairfield, CT 06825
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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.

SAMANTHA KENNEDY PA-C
Physician Assistant
5151 PARK AVE, MASTERS OF PHYSICIAN ASSISTANT STUDIES PROGRAM
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 989-9237
CASEY QUINN MS, ATC, LAT
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 365-7672
MISS ELENI PSATHAS ATC
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 396-8109
ABBY ELIZABETH SKROVIG
Physician Assistant
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (605) 988-4306
LOLIA HALPERIN
Occupational Therapist
5151 PARK AVE, PITT CENTER
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 396-8181
DOROTA GORCZYNSKA
Student in an Organized Health Care Education/Training Program
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 371-7999
JULIE G ALEXANDER MSED, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 365-7672
KIRSTEN J PERILLO PTA
Physical Therapy Assistant
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 396-8181

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 Timothy Mallon's NPI number?

The NPI number for Timothy Mallon is 1871121665. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Timothy Mallon located?

Timothy Mallon practices at 5151 Park Ave, Fairfield, CT 06825. The listed phone number is (203) 371-7999.

What is Timothy Mallon's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Mallon was last updated on March 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.