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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Mary Mallavarapu MD

Pediatrics Physician in Pomona, NY · enumerated 2009 · authorized official Anita Soares, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669606547

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Registry record

Entity type Organization (Type 2)
Legal business name Mary Mallavarapu MD
Parent organization Mary Mallavarapu MD
Practice address 971 Route 45, Suite 112, Pomona, NY, 10970
Phone (845) 354-8054
Fax (845) 354-1807
Enumeration date May 7, 2009
Last updated in NPPES May 7, 2009

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 121643 (NY) Primary

Authorized official

Name Anita Soares
Title Office Manager
Phone (845) 354-8054

Other identifiers

Identifier Type State Issuer
00515435 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Mary Mallavarapu MD?
Mary Mallavarapu MD is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-07.