Organization Active NPI

Lawrence Madiefsky,DPM,PA

  • Podiatric Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1013281278
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
1602 Issued in FL
Legal business name
LAWRENCE MADIEFSKY,DPM,PA
Practice address
8110 Royal Palm Blvd
Suite 110
Coral Springs, FL 33065-5795
Phone
(954) 341-8513
Fax
(954) 341-8514
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence Madiefsky, DPMNPI 1316032691
Title
President
Phone
(954) 341-8513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 1602 FL Primary

Addresses

Primary practice location

8110 Royal Palm Blvd
Suite 110
Coral Springs, FL 33065-5795

Mailing address

9750 NW 33Rd Street
Suite 201
Coral Springs, FL 33065-0000
Phone (954) 341-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000718 FL Part B Supplier - Clinic/Group Practice 1759540073 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

8110 Royal Palm Blvd
Ste 110
Coral Springs, FL 33065
Phone (954) 341-8513

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1013281278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD STREET",
            "address_2": "SUITE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330650000",
            "telephone_number": "954-341-8513",
            "fax_number": "954-341-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 ROYAL PALM BLVD",
            "address_2": "SUITE 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655795",
            "telephone_number": "954-341-8513",
            "fax_number": "954-341-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE MADIEFSKY,DPM,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "MADIEFSKY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-341-8513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.