Daniela C Mallack, - Medicare Dentist in Montclair, NJ

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Daniela C Mallack, is a medicare enrolled "Dentist - General Practice" provider in Montclair, New Jersey. Her current practice location is 1 Bay Ave, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 429-6888.

Daniela C Mallack is licensed to practice in New Jersey (license number 22DI02868001) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770173700.

Contact Information

Daniela C Mallack,
1 Bay Ave,
Montclair, NJ 07042-4837
(973) 429-6888
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDaniela C Mallack
GenderFemale
SpecialityDentist - General Practice
Location1 Bay Ave, Montclair, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770173700
  • Provider Enumeration Date: 01/23/2021
  • Last Update Date: 02/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688189913
  • Enrollment ID: I20250715002666

Medical Identifiers

Medical identifiers for Daniela C Mallack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770173700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 22DI02868001 (New Jersey)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniela C Mallack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Daniela C Mallack,
1 Bay Ave,
Montclair, NJ 07042-4837

Ph: (973) 429-6888		Daniela C Mallack,
1 Bay Ave,
Montclair, NJ 07042-4837

Ph: (973) 429-6888

Reviews and Comments


Dentist in Montclair, NJ

Jaclyn Taylor Schmitz,
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Practice Location: 1 Bay Ave, Montclair, NJ 07042
Phone: 973-429-6888    
Dr. Samuel Lopez, D.M.D.
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Daryoush Haghighi, D.D.S.
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George James Zach,
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Practice Location: 1 Bay Ave, Montclair, NJ 07042
Phone: 973-429-6888    
Dr. Joshua Azar, DDS
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Practice Location: 311 Orange Rd, Montclair, NJ 07042
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Kang-woo Daniel Park, DDS
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Practice Location: 83 Park St, Montclair, NJ 07042
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Dr. Kevin Noreika, D.M.D.
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Practice Location: 131 Watchung Ave, Montclair, NJ 07043
Phone: 973-744-3972    Fax: 973-744-4736

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.