Individual ProviderMallory HoneywellNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address158 Route 73 Ste B, Voorhees, NJ 08043-9539(856) 247-7230(609) 828-5425PECOS EnrollmentBased on the most recent information from CMS, provider Mallory Honeywell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1588130595Provider TypeIndividualFull NameHoneywell, MalloryGenderFemaleSole ProprietorNoEnumeration Date10/17/2018Last Updated12/13/2024Contact InformationPractice LocationPractice Address158 Route 73 Ste B, Voorhees, NJ 08043-9539Phone(856) 247-7230Fax(856) 247-7231Mailing LocationMailing Address42 Amberfield Dr, Delran, NJ 08075-2833Phone(609) 828-5425FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00852800New JerseyProvider IdentifiersIDDescriptionIssuerID0668711DescriptionMedicaidIssuerUnlistedNew Jersey