Mallard Professional Services Inc
NPI 1699455519ActiveOrganization· Family Medicine· Massapequa, NY
Family Medicine in Massapequa, New York, registered in NPPES in July 2023. The authorized official on file is Donna Scoca, Credentialing.
Overview
| NPI | 1699455519 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2023 |
| Last updated in NPPES | Aug 2, 2023 |
| Certified by provider | Aug 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Massapequa
- 1194831016
- 1720253487
- 1154493294
- 1447549894
- 1487626289
- 1194883793
- 1104901057
- 1033265244
- 1386750206
- 1528092020
- 1972661155
- 1205831435