Individual provider Active NPI

Nicole Elizabeth Malany, PA-C

  • Medical Physician Assistant
  • Berwyn, PA
National Provider Identifier
1194833186
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA003057L Issued in PA
Practice address
901 Lancaster Ave Ste 100
Berwyn, PA 19312-1734
Phone
(610) 251-2525
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA003057L PA Primary

Addresses

Primary practice location

901 Lancaster Ave Ste 100
Berwyn, PA 19312-1734

Mailing address

1176 Telegraph Rd
West Chester, PA 19380-1615
Phone (610) 431-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003057LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lose Weight 1 LLC Past Accepting new patients
Berwyn Health and Wellness PC PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1194833186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 TELEGRAPH RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801615",
            "telephone_number": "610-431-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LANCASTER AVE STE 100",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121734",
            "telephone_number": "610-251-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANY",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003057L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.