Beth Mallozzi-Roberts, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS006191L Issued in PA

Practice address

255 W Lancaster Ave
Paoli, PA 19301-1763

Phone

(610) 648-1000

NPI assigned

Oct 25, 2006

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Bucks County Imaging Associates Inc

  dba Langhorne MRI

  • Radiology Clinic/Center
  • Langhorne, PA
  • NPI 1902875131
  NPD (past)
• Main Line Health Imaging LP

  • Body Imaging Physician
  • Wynnewood, PA
  • NPI 1598951592
  NPD (past)
• Imaging Group of Delaware, PA

  • Diagnostic Radiology Physician
  • Wilmington, DE
  • NPI 1164421574
  NPD (past)
• Radiology Affiliates of Central New Jersey PC

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1811994791
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1447334628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-648-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-648-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOZZI-ROBERTS",
        "first_name": "BETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS006191L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0153149303",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTHPLAN EAST",
            "identifier": "0530667000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2706910",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PA",
            "identifier": "695624",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015314930003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Main Line Internal Medicine LLC
• Main Line Neuropsychology, PLLC
• Main Line Treatment, LLC
• Mainline Center for Oral & Facial Surgery LTD
• Daniel Malloy-Good
• Frances Marie Maniscalco, AGAC-CRNP, MSN, BSN
• Bilal Arshad Mannan, M.D.
• Kevin A Mansmann, MD
• Angelo Joseph Marino
• Mark Carpenter Military Dental Service, LLC.

• Diagnostic Radiology Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.