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

Individual provider Medical Physician Assistant · NPI 1790206274

Mallory Patino, PA-C is a Physician Assistant in Newark, Delaware. Qualified in 2017, 9 years ago. Practices with Newark Emergency Center, a 29-clinician group and accepts Medicare assignment. Licensed in Delaware and Pennsylvania.

Years since qualifying
9
Licensed in
DE, PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

324 E Main St
Newark, DE 19711-7150
Phone: (302) 738-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C5-0011878 (DE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence OA004186 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA059129 (PA)

Record details

NPI number1790206274
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Newark Emergency Center — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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