Individual provider Active NPI

Mallory Tiano

  • Physician Assistant
  • Saugerties, NY
National Provider Identifier
1073282802
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2976 Route 9W
Saugerties, NY 12477-5234
Phone
(518) 264-9000
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2976 Route 9W
Saugerties, NY 12477-5234

Mailing address

2976 Route 9W
Saugerties, NY 12477-5234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122001510 NY Practitioner - Physician Assistant 9436548948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

11835 RT
9W
West Coxsackie, NY 12192-3605
Phone (518) 264-4600

2976 Route 9W
Saugerties, NY 12477-5234
Phone (518) 264-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027373NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Oct 11, 2021 Accepting new patients
Albany Medical College CurrentSince Oct 11, 2021 Accepting new patients
Albany Medical College CurrentSince Oct 11, 2021 Accepting new patients
Albany Medical College Physician Assistant Past Accepting new patients

Locations

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

329 Glenmont Rd
Glenmont, NY 12077
Phone (518) 264-4603

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: mlang33870@albanymed.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1073282802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 ROUTE 9W",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124775234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 ROUTE 9W",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124775234",
            "telephone_number": "518-264-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIANO",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

Verify at the official NPI Registry.