Gregory E. Maddalena, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052146-1 Issued in NY

Practice address

6 Henry St
Hudson River Healthcare, Inc.
Beacon, NY 12508-3058

Phone

(845) 831-0400

Fax

(845) 831-0793

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1033319066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "845-838-7020",
            "fax_number": "845-838-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HENRY ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083058",
            "telephone_number": "845-831-0400",
            "fax_number": "845-831-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALENA",
        "first_name": "GREGORY",
        "middle_name": "E.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052146-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03350727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Lucas
• Jennifer Luchetta
• M R a Nejad MD PC
• Kathleen Harwell Macintyre, ATR-BC, LCAT
• Taylor Mackewicz, MHCP
• Mary Maddox, MSED
• Danielle Maiorano
• Kathleen Marcella Malara, FNP
• Christine Elizabeth Malone
• Patrick M Malouf, DC

• General Practice Dentistry in Beacon, NY
• Providers in Beacon, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.