Edwin S Malloy, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD011952E Issued in PA

Practice address

334 Main St
Ste 1
Dickson City, PA 18519-1620

Phone

(570) 307-1767

Fax

(570) 307-1770

NPI assigned

Jun 27, 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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Allied Services Institute of Rehabilitation Medicine

  • Rehabilitation Hospital
  • Scranton, PA
  • NPI 1316944184
  NPD (past)
• Allied Services Institute of Rehabilitation Medicine

  • Skilled Nursing Facility
  • Scranton, PA
  • NPI 1790102622
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407883085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "address_2": "STE 1",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191620",
            "telephone_number": "570-307-1767",
            "fax_number": "570-307-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "address_2": "STE 1",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191620",
            "telephone_number": "570-307-1767",
            "fax_number": "570-307-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "EDWIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD011952E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc
• LVHN Scranton Orthopedic Specialists
• LVHN Scranton Orthopedic Specialists
• Marisa M Maghran, R.PH.
• Main Street Pediatrics of Greater Scranton
• Christine Marie Mancia, MS, OTR/L
• Brooke Paige Mariano, LCSW
• Johanna Z. Maroon, CRNA
• Justin Scott Marshall, DPT
• Michael Martinez

• Orthopaedic Surgery Physician in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.