Jaclyn Malloy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

056526 Issued in NY

Practice address

306 Nassau Blvd
Garden City, NY 11530-5314

Phone

(516) 208-2100

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1942105333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W WAUKENA AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 NASSAU BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305314",
            "telephone_number": "516-208-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "056526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Salby Makil, FNP
• Peter Malamas, MD
• Takouhie Catherine Maldjian, MD
• Samuel Malebranche
• Kim Allison Mallar, MS CCC-SLP
• Elizabeth Anne Mallozzi, OTR/L
• Allison Meredith Maloney, PH.D., LCSW-R
• Margaret E Mammes, REGISTERED NURSE CER
• Moiz Ismail Manaqib, M.D.
• Manas NP-Psychiatry P.C.

• Pediatric Physical Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.