Mallorie Brooke Bialick, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

308605 Issued in NY

Practice address

80 Crossways Park Dr Ste 100
Woodbury, NY 11797-2047

Phone

(516) 944-3882

Fax

(844) 751-9263

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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 NY

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

State licenses

Practice roles

Locations

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.

• Laboratory of Dermatopathology Adx, LLC

  • Dermatopathology (Pathology) Physician
  • Woodbury, NY
  • NPI 1487663860

  Single Specialty

  NPD
• Pathology Solutions LLC

  • Clinical Medical Laboratory
  • Eatontown, NJ
  • NPI 1417924424
  NPD (past)
• Pathology Solutions, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1609326966
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1477935153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR STE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-514-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CROSSWAYS PARK DR STE 100",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972047",
            "telephone_number": "516-944-3882",
            "fax_number": "844-751-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALICK",
        "first_name": "MALLORIE",
        "middle_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "308605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Elise Berg, CDN
• Malcolm Berger, PTA
• David M. Berk, D.D.S.
• Ravindra Kumar Bhachawat, M.D.
• Arpita Bhalodkar, M.D.
• Kathy Bih
• Raja Shekhar Bikumandla, PHYSICAL THERAPIST
• Laurence G Bilsky, MD
• Cecilia Natalia Esteban Birisan, M.D.
• Robin Black

• Anatomic Pathology & Clinical Pathology Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.