Individual provider Active NPI

Malia Allegra Lonergan, PA-C

  • Medical Physician Assistant
  • Greensboro, NC
National Provider Identifier
1639570823
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-05220 Issued in NC
Practice address
3710 High Point Rd
Greensboro, NC 27407-4646
Phone
(336) 299-6242
Fax
(336) 299-7862
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-05220 NC Primary

Addresses

Primary practice location

3710 High Point Rd
Greensboro, NC 27407-4646

Mailing address

3710 High Point Rd
Greensboro, NC 27407-4646
Phone (336) 299-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141206000137 NC Practitioner - Physician Assistant 3072835891 Reassigns benefits to 1 organization
I20250327003385 NY Practitioner - Physician Assistant 3072835891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05220NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Jan 25, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 25, 2025 Accepting new patients
Llibott Consultorios Medicos- WS,PLLC Past Accepting new patients
R E Williford MD PA PastSince Sep 21, 2013 Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1639570823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 HIGH POINT RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074646",
            "telephone_number": "336-299-6242",
            "fax_number": "336-299-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 HIGH POINT RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074646",
            "telephone_number": "336-299-6242",
            "fax_number": "336-299-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "MALIA",
        "middle_name": "ALLEGRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.