Frederic J Mallen, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35918 Issued in NJ

Practice address

3100 Princeton Pike
Building 1
Lawrenceville, NJ 08648-2300

Phone

(609) 896-0101

NPI assigned

Feb 4, 2006

Last updated

Nov 24, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederic Mallen, M.D., P.C.

  • Ophthalmology Physician
  • Lawrenceville, NJ
  • NPI 1457688343
  Authorized official Same address or phone

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1952373888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BUILDING 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-896-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BUILDING 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-896-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEN",
        "first_name": "FREDERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "35918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dharampal Reddy Madhadi, RPH
• Monica Nadia Mahabir, PTA
• Brandon Makres, ATC
• Lon Maletta, PH.D.
• Joshua Mali, M.D.
• Jeffrey S Mannheimer, PHD, PT
• Kaitlyn Mannon, RN
• Theresa Marcantino
• Nadia Marcelin, APN
• Nicole Marcus, MS CCC/SLP

• Ophthalmology Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.