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

Jonathan R Mallen, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1588663140

Jonathan R Mallen, MD is an Orthopedic Surgery in Rockville Centre, New York. Graduated from New York Medical College in 1998, 28 years ago. Practices with South Island Orthopedics PC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Trained at
New York Medical College
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone: (516) 536-2800
Fax: (516) 302-8182
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 217086 (NY)

Record details

NPI number1588663140
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2005
Last updated in NPPESNovember 13, 2013

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1998 (28 years in practice)
Group practice South Island Orthopedics Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockville Centre