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

Eric James Mallack, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1730445180

Eric James Mallack, MD is a Neurology in New York, New York. Graduated from Temple University School of Medicine in 2012, 14 years ago. Practices with Kennedy Krieger Associates, a 73-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
14
Trained at
Temple University School of Medicine
Licensed in
MD, NY
In the registry since
2012
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

505 E 70th St Fl 3
New York, NY 10021
Phone: (212) 746-3278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (410) 502-2037
  • 41 7th St, North Arlington, NJ 07031-4770 — (201) 674-1834

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence D97854 (MD)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 277733 (NY)

Record details

NPI number1730445180
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Kennedy Krieger Associates — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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