STEPHEN M MALLON MD
NPI 1962436360
Internal Medicine - Cardiovascular Disease in Miami, FL

Active since July 10, 2006
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1111(305) 585-6960 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen M Mallon Md NPPES

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

STEPHEN M MALLON MD (NPI 1962436360) is an individual cardiovascular disease provider in Miami, Florida, licensed in Florida (ME12372) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962436360
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSTEPHEN M MALLONCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1500 Nw 12th Ave, Jmt-east 1004Miami, FL 33136-1028 · (305) 585-6779 · Fax (305) 585-6960
Fax(305) 585-6960
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 8, 2013
NPI 1962436360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME12372
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1611 NW 12TH AVE, Miami, FL 33136

Other Identifiers 3

Medicare ID-Type Unspecified91653
Medicare UPIND59747
Medicaid0511757-00FL

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Stephen Mallon's NPI number?

The NPI number for Stephen Mallon is 1962436360. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Stephen Mallon located?

Stephen Mallon practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Stephen Mallon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Stephen Mallon was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.