Dorotea C Malley, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

328176 Issued in NJ

Practice address

44 Campo Ter
Red Bank, NJ 07701-5301

Phone

(732) 299-5079

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Thea Malley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1932873064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CAMPO TER",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015301",
            "telephone_number": "732-299-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CAMPO TER",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015301",
            "telephone_number": "732-299-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEY",
        "first_name": "DOROTEA",
        "middle_name": "C",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NJ",
            "license": "328176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEA",
            "last_name": "MALLEY",
            "credential": "CLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janki Majithia, DO
• Michael Makar
• Kara Malandrakis
• Adam Maldonado-Bromberg, MD
• Alexander M Malek, DPM
• Malone Speech LLC
• Manalapan DME Inc.
• Ann Mancuso, PH.D.
• Patricia M Mandica
• Jessica Mandle, APN

• Lactation Consultant (Non-RN) in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Lactation Consultant (Non-RN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.