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

Mallory Anne Smallze

Individual provider Nurse Practitioner · NPI 1053045203

Mallory Anne Smallze is a Nurse Practitioner in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022

Practice location Address checks out

22-18 Broadway
Fair Lawn, NJ 07410-3016
Phone: (201) 414-9840
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ01325700 (NJ)

Record details

NPI number1053045203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address13 Dorothy Ave, Rochelle Park, NJ 07662-3303

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