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Physician Assistant

Mallory Vicedomini, PA

Sees patients in Hackettstown, NJ · Sparta, NJ · Randolph, NJ · New Jersey

Summary

Mallory Vicedomini, PA (Physician Assistant) is enrolled with Medicare at 3 practice locations in Hackettstown, NJ, Sparta, NJ and Randolph, NJ. NPI 1447070909. Medicare data says the clinician accepts Medicare assignment. Source: CMS National Downloadable File, updated 2026-10-02.

From official Medicare data

This page shows what Medicare's official clinician data says about Mallory Vicedomini, joined by NPI number (data updated 2026-10-02). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Physician AssistantPrimary specialty
YesAccepts Medicare assignment
2Years since medical school (graduated 2024)
FemaleGender (as listed)
North Jersey Sports Medicine and Orthopedic Center, LLCGroup practice

Quick answers

Where does Mallory Vicedomini see patients?
Medicare's clinician data lists 3 practice locations, including Hackettstown, NJ, Sparta, NJ and Randolph, NJ. Call before your visit to confirm the address.
What is Mallory Vicedomini's specialty?
Medicare lists Physician Assistant as the primary specialty.
Does Mallory Vicedomini accept Medicare assignment?
Yes. Medicare's clinician data says Mallory Vicedomini accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of 2026-10-02. Ask the office to confirm before your visit.
What is the phone number for Mallory Vicedomini?
(908) 684-3005, as listed in official Medicare / NPI Registry data.
What is Mallory Vicedomini's NPI number?
1447070909. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Practice locations

Addresses where Mallory Vicedomini is enrolled with Medicare (CMS data updated 2026-10-02).

Group practices

Medicare enrollment lists Mallory Vicedomini as a member of this group (CMS data updated 2026-10-02).

  • North Jersey Sports Medicine and Orthopedic Center, LLC28 clinicians in the group

Specialties

Find other clinicians: Physician Assistant, New Jersey →

Other physician assistants in Hackettstown

Clinicians with the same Medicare primary specialty in Hackettstown, NJ — not a recommendation.

All physician assistants in Hackettstown →

Clinician information

CredentialPA
Graduation year2024
Gender (as listed)Female
Medicare assignmentAccepts (Medicare-approved amount as full payment)
NPI (National Provider Identifier)1447070909
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. National Downloadable File (Doctors and Clinicians) — CMS, data updated 2026-10-02, retrieved 2026-10-29
  2. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  3. Medicare Care Compare — official Medicare tool to look up clinicians