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Dr. Mallory Paige Carson , DO

Pediatrics β€’ Stony Brook, NY

Active NPI 1376004044 Individual Practitioner Female Practitioner
Practice location in NPPES

Stony Brook Children's Department Of Pediatrics
Stony Brook, NY 117940001

Call 6314442020 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Stony Brook Children's Department Of Pediatrics

Stony Brook, NY 117940001

Telephone 6314442020
Fax 6314442894

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Stony Brook and New York

51 active clinicians are listed under Pediatrics with a practice address in Stony Brook, NY (5,805 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Stony Brook

0% of these 51 clinicians have the CMS telehealth indicator.

13.7% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NY 315114

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1386815777

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Fisher , MD

Internal Medicine

NPI 1891038964

Doctor of Medicine (M.D.)

NPI 1831459874

Doctor of Medicine (M.D.)

Dr. Brianna Yaeger , DO

Student in an Organized Health Care Education/Training Program

NPI 1912609165

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2022

Pediatrics (license number reported to NPPES: NY 315114)

βœ…
NPI Profile Active March 26, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 26, 2019

Registered at STONY BROOK CHILDREN'S DEPARTMENT OF PEDIATRICS, STONY BROOK, NY 117940001 (Tel: 6314442020)

πŸ“
Business Mailing Address (Initial Record) March 26, 2019

Registered at 9314 244TH ST, FLORAL PARK, NY 110013913 (Tel: 5165094634)

πŸ‘€
Provider Name / Credentials (Initial Record) March 26, 2019

Recorded as MALLORY CARSON, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 26, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376004044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2019
Last Update: June 23, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Stony Brook

Healthcare providers in Stony Brook

Mailing Address

9314 244th St

Floral Park, NY 110013913

Phone: 5165094634

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.