Marguerite H Mallia

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303417-1 Issued in NY

Practice address

5075 W Senecatpke
Van Duyn Home & Hospital
Syracuse, NY 13215-2292

Phone

(315) 435-5511

Fax

(315) 435-5520

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225186588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 STRATHMORE DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 W SENECATPKE",
            "address_2": "VAN DUYN HOME & HOSPITAL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152292",
            "telephone_number": "315-435-5511",
            "fax_number": "315-435-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIA",
        "first_name": "MARGUERITE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303417-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS NURSE PRACT LICENSE",
            "identifier": "F303417-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arooj Malik, MD
• Bilal Malik, MD
• Max Malikow, LMHC
• Marc Maller, MD
• Nicholas Alan Mallette
• Nicole L Malliard, LMSW
• Grace Quinn Mallon
• Crystal Gayle Malloy
• Ashaleigh Malone, LPN
• Cassandra Malone

• Adult Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.