MEDICARE: PAUL MALLARI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA00270	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	409374	OTHER	RI	BLUE CHIP
2	0000030808	OTHER	RI	BC BS OF RHODE ISLAND
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801889787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MALLARI PA-C

Provider Business Mailing Address
First Line	:	79 CLIFF DR
Second Line	:
City	:	ASSONET
State	:	MA
Zip	:	02702-1377
Country	:	US
Telephone Number	:	401-529-7787
Fax Number	:	508-674-8880

Provider Business Practice Location Address
First Line	:	1526 ATWOOD AVE STE 220
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-3289
Country	:	US
Telephone Number	:	401-396-2227
Fax Number	:	401-421-1120

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	02/09/2024

Similar Medicare Providers

1932180429 — DR. SUMIT K DAS M.D.
Practice Location Address:

1526 ATWOOD AVE , SUITE 200
JOHNSTON, RI
02919-3289

Practice Phone: 401-270-5395
Practice Fax: 401-270-7635

1376524868 — CHRISTOPHER S OTTIANO M.D.
Practice Location Address:

1526 ATWOOD AVE , SUITE 200
JOHNSTON, RI
02919-3289

Practice Phone: 401-270-5395
Practice Fax: 401-270-7635

1689642407 — MS. MARY STEVENSON P.T.
Practice Location Address:

1526 ATWOOD AVE , SUITE 200
JOHNSTON, RI
02919-3289

Practice Phone: 401-270-5395
Practice Fax: 401-270-7635

1326016528 — THOMAS ROBERT ROCCO MD
Practice Location Address:

1526 ATWOOD AVE STE 200
JOHNSTON, RI
02919-3289

Practice Phone: 401-404-2975
Practice Fax: 401-404-2976

1528024171 — BLACKSTONE VALLEY SURGICARE ACQUISITION LP
Practice Location Address:

1526 ATWOOD AVE , SUITE 300
JOHNSTON, RI
02919-3289

Practice Phone: 401-459-3800
Practice Fax:

1881647238 — NORTHWESTERN RI IMAGING CENTER, LLC
Practice Location Address:

1526 ATWOOD AVE
JOHNSTON, RI
02919-3289

Practice Phone: 401-331-0900
Practice Fax: 401-455-0909

Directions to “ PAUL MALLARI PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.