WILLIAM KINNEY MALLON JR. MD
NPI 1881635811
Emergency Medicine - Emergency Medical Services in Stony Brook, NY

Active since June 09, 2006
STONY BROOK MEDICINE DEPT OF EMERGENCY, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794(631) 444-2478 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2015, Nov 20, 2015 (2 updates tracked since 2015).

About William Kinney Mallon Jr. Md NPPES

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

WILLIAM KINNEY MALLON JR. MD (NPI 1881635811) is an individual emergency medical services provider in Stony Brook, New York, licensed in New York (282233) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1881635811
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameWILLIAM KINNEY MALLON JR.Credential: MD
Location AddressSTONY BROOK MEDICINE DEPT OF EMERGENCY, HSC, LEVEL 4, ROOM 080Stony Brook, NY 11794-8350
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 23, 20152 updates tracked since enumeration
NPI 1881635811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in NY · 282233
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
STONY BROOK MEDICINE DEPT OF EMERGENCY, Stony Brook, NY 11794

Other Identifiers 3

Medicare ID-Type UnspecifiedWG64055ECA
Medicaid00G640550CA
Medicare UPINF09383

Other Providers at the Same Location NPPES 3

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

Emergency Medicine
STONY BROOK MEDICINE DEPT OF EMERGENCY, HSC, LEVEL 4, ROOM 080
STONY BROOK, NY 11794
Emergency Medicine
STONY BROOK MEDICINE DEPT OF EMERGENCY, HSC, LEVEL 4, ROOM 080
STONY BROOK, NY 11794
Emergency Medicine
STONY BROOK MEDICINE DEPT OF EMERGENCY, HSC, LEVEL 4, ROOM 080
STONY BROOK, NY 11794

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 William Mallon's NPI number?

The NPI number for William Mallon is 1881635811. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is William Mallon located?

William Mallon practices at Stony Brook Medicine Dept Of Emergency Hsc, Level 4, Room 080, Stony Brook, NY 11794. The listed phone number is (631) 444-2478.

What is William Mallon's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for William Mallon was last updated on November 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.