Mallory Del Mauro
Nurse Practitioner, Family in Summit, NJ. Individual provider (NPI-1).
NPI number1154279255
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1154279255
- Entity type
- Individual (NPI-1)
- Name
- Mallory Del Mauro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2026
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ15643900 | NJ | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 26NR21642000 | NJ |
Practice location
99 Beauvoir AveSummit, NJ 07901-3533
Phone 908-522-2000
Mailing address
25 Severna AveSpringfield, NJ 07081-1114
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