Mallory Vicedomini, PA
Mallory Vicedomini, PA is a Physician Assistant in Union, New Jersey. Qualified in 2024, 2 years ago. Practices with Igea Brain and Spine, PA, an 18-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1057 Commerce AveUnion, NJ 07083-5025
Phone: (866) 467-1770
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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 number | 1447070909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 10, 2024 |
| Last updated in NPPES | November 21, 2024 |
| Certification date | November 21, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Igea Brain And Spine,Pa — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Union
-
Lelys Rivera, PA-C
1057 Commerce Ave, Union, NJ 07083-5025 · (908) 688-8800
-
Camille Simbert, PA-C
1945 US Highway 22 W, Union, NJ 07083 · (908) 624-9665
-
Guida Maria St George, MS, PA-C
1308 Morris Ave, Union, NJ 07083-3331 · (908) 851-2770
-
Mrs. Cynthia L Tamburino, PA-C
1000 Galloping Hill Rd, Union, NJ 07083-7989 · (610) 715-0128
-
MS. Glorimar Weaver, PA-C
1057 Commerce Ave, Union, NJ 07083-5025 · (908) 688-8800