Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey E Mallin, MD

Individual provider Specialist · NPI 1417920604

Dr. Jeffrey E Mallin, MD is a Neurology in New Hyde Park, New York. Qualified in 1982, 44 years ago. Practices with New York Neurologic Associates LLP, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3003 New Hyde Park Rd Ste 200
New Hyde Park, NY 11042-1214
Phone: (516) 488-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 156720 (NY)
Specialist Taxonomy 174400000X · Licence 156720 (NY)

Record details

NPI number1417920604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 9, 2006
Last updated in NPPESMarch 30, 2023
Certification dateMarch 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice New York Neurologic Associates Llp — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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