KRISTIE MALLOY (PA-C) – Physician Assistant, NPI 1609280031
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for KRISTIE MALLOY (PA-C)
301 LIPPINCOTT DR STE 410
MARLTON, NJ 080534197
Phone: (856) 355-0340
Fax: (856) 355-0330
Type: Mailing
1600 HADDON AVE
CAMDEN, NJ 081033101
Phone: (856) 247-2160
Fax: (856) 247-2165
Type: Location
409 S 2ND ST STE 2F
HARRISBURG, PA 171041612
Phone:
Type: Mailing
4300 LONDONDERRY RD
HARRISBURG, PA 171095317
Phone: (717) 231-8772
Fax: (717) 231-8435
Type: Location
175 Madison Ave Fl 1
Mount Holly, NJ 080602099
Phone: (609) 914-6000
Fax: (609) 914-6182
Type: Location
100 Bowman Dr Lowr Level2
Voorhees, NJ 080439612
Phone: (856) 247-2160
Fax: (856) 247-2165
Type: Location
90 Brick Rd Fl 3
Marlton, NJ 080532177
Phone: (856) 247-2160
Fax: (856) 247-2165
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140829002009 | I | Physician Assistant | PA | TBD |
| I20250828000865 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | 47 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 08053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Advanced Heart Failure And Transplant Cardiology | MD | |
| A N E S T H E S I O L O G Y | PA | |
| Internal Medicine | NJ | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | NJ |
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