NPIMap

Individual provider Active NPI

Jonathan Mallen, MD

  • Otolaryngology Physician
  • Langhorne, PA
National Provider Identifier
1396132478
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD473573 Issued in PA
Practice address
400 Middletown Blvd Ste 100
Langhorne, PA 19047-1819
Phone
(215) 757-7300
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 85498 GA
Otolaryngic Allergy Physician 207YX0602X 25MA11149200 NJ
Otolaryngology Physician 207Y00000X MD473573 PA Primary

Addresses

Primary practice location

400 Middletown Blvd Ste 100
Langhorne, PA 19047-1819

Mailing address

400 Middletown Blvd Ste 100
Langhorne, PA 19047-1819
Phone (215) 757-7300

Other practice location 1

8 Quakerbridge Plz Ste C
Hamilton, NJ 08619-1255
Phone (609) 890-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210902000011 NJ Practitioner - Otolaryngology 5092028555 Reassigns benefits to 1 organization
I20210902000030 PA Practitioner - Otolaryngology 5092028555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Facial Plastic Surgical Associates, LLPGroup PAC ID 0143294074, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

400 Middletown Blvd
Suite 100
Langhorne, PA 19047-1819
Phone (215) 757-7300

8 Quakerbridge PLZ
Trenton, NJ 08619-1284
Phone (609) 890-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as group
Quality
97.02
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
ENT & Facial Plastic Surgical Associates, LLP Otolaryngology CurrentSince Sep 1, 2021 Accepting new patients
ENT & Facial Plastic Surgical Associates, LLP Otolaryngology CurrentSince Sep 1, 2021 Accepting new patients

Locations

8 Quakerbridge Plz
Trenton, NJ 08619
Phone (609) 586-9666

400 Middletown Blvd
Ste 100
Langhorne, PA 19047
Phone (215) 757-7300

Interoperability endpoints

  • Direct secure messaging: jonathan.mallen@xdr.hhchealthdirect.org
  • Direct secure messaging: jmallen@premierent.medentdirect.com

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.

Hospital & facility affiliations 3

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1396132478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MIDDLETOWN BLVD STE 100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471819",
            "telephone_number": "215-757-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MIDDLETOWN BLVD STE 100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471819",
            "telephone_number": "215-757-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Quakerbridge Plz Ste C",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086191255",
            "country_code": "US",
            "telephone_number": "609-890-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLEN",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "85498",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NJ",
            "license": "25MA11149200",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD473573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.