Organization Active NPI

Debra Malley, MD LLC

  • Specialist
  • Gibbsboro, NJ
National Provider Identifier
1881884088
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA63875 Issued in NJ
Legal business name
DEBRA MALLEY, MD LLC
Practice address
88 Lakeview Dr S
BLDG 2, Suite a
Gibbsboro, NJ 08026-1229
Phone
(856) 309-0345
Fax
(856) 309-1213
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Debra S Malley, M.D.NPI 1447299748
Title
Owner
Phone
(856) 309-0345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA63875 NJ Primary

Addresses

Primary practice location

88 Lakeview Dr S
BLDG 2, Suite a
Gibbsboro, NJ 08026-1229

Mailing address

88 Lakeview Dr S
BLDG 2, Suite a
Gibbsboro, NJ 08026-1229
Phone (856) 309-0345

National Provider Directory

National Provider Directory

Locations

88 S Lakeview Dr
Bldg 2
Gibbsboro, NJ 08026
Phone (856) 309-0345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1881884088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LAKEVIEW DR S",
            "address_2": "BLDG 2, SUITE A",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261229",
            "telephone_number": "856-309-0345",
            "fax_number": "856-309-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LAKEVIEW DR S",
            "address_2": "BLDG 2, SUITE A",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261229",
            "telephone_number": "856-309-0345",
            "fax_number": "856-309-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA MALLEY, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "MALLEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-309-0345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA63875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.