KELLEY WACHTER MALI (NPI# 1477811032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477811032 |
| Entity Type | Individual |
| Full Name | KELLEY WACHTER MALI |
| Credential | PA-C |
| Practice Address |
50 Newark Ave Suite 205 Belleville NJ 07109-1185 |
| Mailing Address |
72 Yorkshire Dr Cedar Grove NJ 07009-2036 |
| Practice Telephone | 9734292209 |
| Mailing Telephone | 9083993506 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00280600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 NEWARK AVE SUITE 205 |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411957 | Mario A Criscito | Internal Medicine | 50 Newark Ave, Suite 204, Belleville, NJ 07109-1185 | 2005-07-21 |
| 1013352558 | Lucknie Ovincy | Physician Assistant | 50 Newark Ave, Belleville, NJ 07109-1185 | 2013-05-09 |
| 1568723435 | Craig D Gialanella Md LLC | Internal Medicine | 50 Newark Ave, Suite 307, Belleville, NJ 07109-1185 | 2012-06-06 |
| 1699006445 | Sameer Kaul | Internal Medicine | 50 Newark Ave, Suite 204, Belleville, NJ 07109 | 2010-01-19 |
| 1538325220 | Comprehensive Medical Practice, PC | Family Medicine | 50 Newark Ave, Suite 205 - 207, Belleville, NJ 07109-1185 | 2008-08-01 |
| 1326221011 | Steven M. Lomazow M.d. PC | Psychiatry & Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1185 | 2007-12-17 |
| 1275728842 | Silver Lake Medical, PC | Family Medicine | 50 Newark Ave, Suite 205 - 207, Belleville, NJ 07109-1185 | 2007-09-07 |
| 1902022882 | Liviu Craciun | Psychiatry & Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1185 | 2007-04-18 |
| 1912041047 | Robert R Gialanella Md Pa | Internal Medicine | 50 Newark Ave, Suite 306, Belleville, NJ 07109-1185 | 2007-02-20 |
| 1467596502 | Craig D Gialanella | Internal Medicine | 50 Newark Ave, Suite 307, Belleville, NJ 07109-1185 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528506557 | Amber Alicia Mcclure | Physician Assistant | 1710 Shadow Ridge Ct, Apt F, Belleville, IL 62221-3962 | 2017-02-09 |
| 1639527187 | Wadler Fleurina | Physician Assistant | 11650 Belleville Rd #101, Belleville, MI 48111 | 2016-05-25 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| 1134466485 | Corey A Brooks | Physician Assistant | 180 S 3rd St Ste 104, Belleville, IL 62220-1952 | 2013-01-07 |
| 1497037634 | Melissa Hawkins | Physician Assistant | 1 Clara Mass Drive, Wound Center, Belleville, NJ 07109 | 2011-09-14 |
| 1013070440 | Kim C Wrigley | Physician Assistant | 4700 Memorial Dr Ste 340, Belleville, IL 62226-5373 | 2006-12-18 |
| 1801866462 | Irina Polansky | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-25 |
| 1831183334 | Courtney M Mcfarlin | Physician Assistant | 2129 W Main St, Belleville, IL 62226-6666 | 2005-09-12 |
| 1518592203 | Daniela Vetan-zlibut | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-03-03 |
| 1396377289 | Kathryn Cook | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-02-07 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.