OrganizationActive
Jared Mallalieu, PA
NPI 1053542985 · Surgery Physician · Severna Park, MD
Jared Mallalieu, PA is a Surgery Physician organization in Severna Park, MD (NPI 1053542985).
Provider details
- NPI number
- 1053542985
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jared Mallalieu, Owner/Director(410) 544-4600
- License
- H68311 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
484 Ritchie Hwy
Suite a
Severna Park, MD 21146-2961
Phone: (410) 544-4600
Fax: (410) 544-0997
Street-level locationGet directions
Mailing address
10845 Philadelphia Rd
White Marsh, MD 21162-1717
Registry dates
- Enumerated
- 2009-07-27
- Last updated
- 2015-08-17
Frequently asked questions
- What is Jared Mallalieu, PA's NPI number?
- Jared Mallalieu, PA's National Provider Identifier (NPI) is 1053542985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jared Mallalieu, PA?
- Jared Mallalieu, PA is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jared Mallalieu, PA located?
- Jared Mallalieu, PA's practice location on file with NPPES is 484 Ritchie Hwy, Severna Park, MD 21146-2961.
- What is Jared Mallalieu, PA's phone number?
- The practice phone number listed in the NPPES registry for Jared Mallalieu, PA is (410) 544-4600.
- Who is the authorized official for Jared Mallalieu, PA?
- The authorized official listed on Jared Mallalieu, PA's NPPES record is Jared Mallalieu, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jared Mallalieu, PA's NPI active?
- Yes — Jared Mallalieu, PA's NPI (1053542985) is active in the NPPES registry as of the last update on 2015-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.