Active NPI
J. Jin El-Mallawany, MD
- Psychiatry Physician
- Solon, OH
National Provider Identifier
1013109719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.041711
- Legal business name
- J. JIN EL-MALLAWANY, MD
- Practice address
- 34501 Aurora Rd
Ste 101
Solon, OH 44139-3873 - Phone
- (440) 349-2999
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jung Jin El-Mallawany
- Title
- MD
- Phone
- (440) 349-2999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.041711 | OH | Primary |
Addresses
Primary practice location
34501 Aurora Rd
Ste 101
Solon, OH 44139-3873
Mailing address
34501 Aurora Rd
Ste 101
Solon, OH 44139-3873
Phone (440) 349-2999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000230441 | Other | ANTHEM BLUE CROSS | |
| 0600040 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
34501 Aurora Rd
Solon, OH 44139
Phone (440) 248-4100
34501 Aurora Rd
Ste 101
Solon, OH 44139
Phone (440) 349-2999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Garfield Heights, OH
- NPI 1265465488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1013109719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34501 AURORA RD",
"address_2": "STE 101",
"city": "SOLON",
"state": "OH",
"postal_code": "441393873",
"telephone_number": "440-349-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34501 AURORA RD",
"address_2": "STE 101",
"city": "SOLON",
"state": "OH",
"postal_code": "441393873",
"telephone_number": "440-349-2999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. JIN EL-MALLAWANY, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "EL-MALLAWANY",
"authorized_official_first_name": "JUNG JIN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "440-349-2999",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.041711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000230441",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0600040",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.