Mallory Vicedomini, PA
NPI 1447070909 · Physician Assistant · Union, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallory Vicedomini, PA is a Physician Assistant provider in Union, NJ (NPI 1447070909).
Provider details
- NPI number
- 1447070909
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2024-10-10
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Frequently asked questions
- What is Mallory Vicedomini's NPI number?
- Mallory Vicedomini's National Provider Identifier (NPI) is 1447070909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Vicedomini's specialty?
- Mallory Vicedomini is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mallory Vicedomini located?
- Mallory Vicedomini's practice location on file with NPPES is 1057 Commerce Ave, Union, NJ 07083-5025.
- What is Mallory Vicedomini's phone number?
- The practice phone number listed in the NPPES registry for Mallory Vicedomini is (866) 467-1770.
- Does Mallory Vicedomini accept Medicare?
- Mallory Vicedomini is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallory Vicedomini's NPI active?
- Yes — Mallory Vicedomini's NPI (1447070909) is active in the NPPES registry as of the last update on 2024-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.