NPPES file of Aug 9, 2026

Mallory Vicedomini, PA

Physician Assistant · Union, NJ

Mallory Vicedomini, PA is a physician assistant with a practice address in Union, New Jersey, and NPI 1447070909, issued on Oct 10, 2024. Check the license with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1447070909
Name
Mallory Vicedomini
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
1057 Commerce Ave, Union, NJ 07083
Phone
(866) 467-1770
Enumerated
Oct 10, 2024
Record last updated
Nov 21, 2024
Medicare enrollment
Enrolled (PECOS I20250102001399); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 3,393 in New Jersey → Look up another NPI →

Also registered at 1057 Commerce Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Matthew Anderson, M.D.Neurological Surgery Physician1891143798
  2. Brittany Bryant, DPTPhysical Therapist1457161911
  3. Anthony De Marco, PSYDClinical Neuropsychologist1205142304
  4. Ronit Gilad, M.D.Neurological Surgery Physician1770743429
  5. Coralie GuerdatPhysician Assistant1205565462
  6. Isha Gupta, M.D.Neurology Physician1740577857

Verify Mallory Vicedomini in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New Jersey board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 2 group practices

  1. Igea Brain And Spine,paUnion, NJ
  2. North Jersey Sports Medicine And Orthopedic Center, LLCHackettstown, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mallory Vicedomini among 3,393 physician assistant records in New Jersey

Mallory Vicedomini, PA is one of 3,393 physician assistant records with a practice address in New Jersey. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 79% of them.

  • NPI issued2024 · 79% of these records are older, 14% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2024 · median 2019 among the 2,168 with a school on file
  • Record last updated2024 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

28 physician assistant records list a practice address in Union

They are 28 of the 1,094 NPPES records with a practice address in Union, and 3,393 physician assistant records in New Jersey.

All 3,393 in New Jersey → Every provider in Union → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Maryjo AgostaUnion, NJ 070831083067722
  2. Eyriney Azer, PAUnion, NJ 070831568008761
  3. Nancy FresnelUnion, NJ 070831740488063
  4. Leonora Genoble, PA-CUnion, NJ 070831598987158
  5. Kate Rennier GondaUnion, NJ 070831083023386
  6. Zhanna Jones, PHYSICIAN ASSISTANTUnion, NJ 070831386253458
  7. Tanya Lugo, PAUnion, NJ 070831518170208
  8. Christopher Nguyen-LeUnion, NJ 070831609399740

Common questions

What is Mallory Vicedomini, PA's NPI number?

Mallory Vicedomini, PA's National Provider Identifier (NPI) is 1447070909, issued on Oct 10, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Mallory Vicedomini, PA located?

The NPPES record lists a practice address at 1057 Commerce Ave, Union, NJ, 07083. Phone: (866) 467-1770. Providers update this record themselves, so call before visiting.

How can I verify Mallory Vicedomini, PA's license?

Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.