Steven A Mallozzi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD06504 Issued in RI

Practice address

909 N Main St
Suite 300
Providence, RI 02904-5752

Phone

(401) 273-4064

Fax

(401) 273-1268

NPI assigned

May 20, 2006

Sex

Male

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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1407800675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELM ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034626",
            "telephone_number": "877-771-7401",
            "fax_number": "401-784-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MAIN ST",
            "address_2": "SUITE 300",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045752",
            "telephone_number": "401-273-4064",
            "fax_number": "401-273-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOZZI",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD06504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006325",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mallouh
• Megan Malloy, MS, CCC
• Paul F. Malloy, PHD
• Lori A Mallozzi, LPN. AE-C
• Scott Steven Mallozzi, M.D.
• Allison Malo, PA-C
• Amy Malo, RN
• Lauren Marciano Malo, AUD
• Macey Malo
• Kristin Lee Malone, RN, CPNP

• Internal Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.