Active NPI
Tiffany A Malloy, APN
- Psychiatric/Mental Health Clinical Nurse Specialist
- Trenton, NJ
National Provider Identifier
1790910503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 26NC07963600
- Practice address
- 321 N Warren St
Trenton, NJ 08618 - Phone
- (609) 278-6377
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR07963600 | NJ | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 26NC07963600 | NJ | Primary |
Addresses
Primary practice location
321 N Warren St
Trenton, NJ 08618
Mailing address
321 N. Warren
Trenton, NJ 08618
Phone (609) 278-6377
Other names 1
- Tiffany Malloy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR07963600 | NJ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1790910503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N. WARREN",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08618",
"telephone_number": "609-278-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N WARREN ST",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08618",
"telephone_number": "609-278-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "TIFFANY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR07963600",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NC07963600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "MALLOY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.