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

Katherine Ann Malloy, PA

Individual provider Physician Assistant · NPI 1235624776

Katherine Ann Malloy, PA is a Physician Assistant in Stony Brook, New York. Qualified in 2018, 8 years ago. Practices with New York Spine and Brain Surgery, University Faculty Practice Corporat, a 59-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

Hsc T12 Rm 080
Stony Brook, NY 11794-8122
Phone: (631) 444-1116
Fax: (631) 444-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1235624776
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice New York Spine And Brain Surgery, University Faculty Practice Corporat — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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