Neil J Mallis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD031074E Issued in PA

Practice address

7335 Frankford Ave
Philadelphia, PA 19136-3929

Phone

(215) 335-1220

Fax

(215) 335-2517

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Health Home health agency, Newtown, PA, CCN 397015
• Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
• Jefferson Health at Home by Bayada Home health agency, Philadelphia, PA, CCN 397643
• Ennoble Care Hospice, Jenkintown, PA, CCN 731510
• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
• Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nmallis@directaddress.net
• Direct secure messaging: neil.mallis.1@15710.direct.athenahealth.com

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.

• Neil J. Mallis, M.D. Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1699912618
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Redeemer Health System

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1972577617
  Care Compare affiliation Name & address match
• Jefferson Health - Northeast

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1801963343
  Care Compare affiliation Name & address match
• Ennoble Hospice PA LLC

  • Community Based Hospice Care Agency
  • Jenkintown, PA
  • NPI 1619694254
  Care Compare affiliation
• Jeffhome PA, LLC.

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1700533049
  Care Compare affiliation
• Mercy Home Health

  • Home Health Agency
  • Newtown, PA
  • NPI 1467412296
  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1881633576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363929",
            "telephone_number": "215-335-1220",
            "fax_number": "215-335-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363929",
            "telephone_number": "215-335-1220",
            "fax_number": "215-335-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIS",
        "first_name": "NEIL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD031074E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3553245001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Christine Mallgrave, CRNP
• Aarati Bhoosa Malliah, MD
• Abdulaziz Mallik, DDS
• Samantha Mallik
• John A Mallinen, M.A., LPC
• Mary Gentile Mallon, M.D.
• Jeanne Mallorey, RDN
• Aidiah Saran Mallory
• Michael Keith Mallow, M.D.
• Allison M Mallowe, MA, RD, LDN

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.