Mark L. Mallek, MD P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

6560 Issued in NH

Legal business name

MARK L. MALLEK, MD P.C.

Practice address

280 Main St
Suite 340
Nashua, NH 03060-2919

Phone

(603) 881-8000

Fax

(603) 881-8001

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Ellis

Title

Office Manager

Phone

(603) 881-8000

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649330226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAIN ST",
            "address_2": "SUITE 340",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602919",
            "telephone_number": "603-881-8000",
            "fax_number": "603-881-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN ST",
            "address_2": "SUITE 340",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602919",
            "telephone_number": "603-881-8000",
            "fax_number": "603-881-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L. MALLEK, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-881-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NH",
            "license": "6560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0100335Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82110335",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "404414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernest Michael Marino, DMD
• Karen M Marison, BA
• Marium S. Qureshi, DMD, PLLC
• Mark B Constantian MD PA
• Mark C. Steadman & Assoc'S
• Kara Marquis, LICAC
• Timothy James Marquis, MD
• Tyler Marquis, MA, CCC-SLP
• Lauren Marr, ARNP
• Alison CB Marsano, MA

• Gastroenterology Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Gastroenterology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.