Elizabeth Maddela, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

155116 Issued in NY

Practice address

476 Klondike Ave
Staten Island, NY 10314-6216

Phone

(718) 761-1156

Fax

(718) 761-1047

NPI assigned

Apr 6, 2006

Last updated

Oct 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 4880945955, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Icahn School of Medicine at Mount Sinai

  dba Mt Sinai Doctors Staten Island Medicine

  • Hematology & Oncology Physician
  • Staten Island, NY
  • NPI 1457867707
  Medicare reassignment Care Compare group
• Mount Sinai School of Medicine of New York University

  • Internal Medicine Physician
  • Scarsdale, NY
  • NPI 1023334927
  Medicare reassignment NPD
• Mount Sinai School of Medicine of New York University

  • Orthopaedic Surgery Physician
  • Yonkers, NY
  • NPI 1336878651
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore University Hospital

  • Home Health Agency
  • Manhasset, NY
  • NPI 1417965278
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Westbury, NY
  • NPI 1861464471
  Care Compare affiliation
• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1043272719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 KLONDIKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146216",
            "telephone_number": "718-761-1156",
            "fax_number": "718-761-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 KLONDIKE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146216",
            "telephone_number": "718-761-1156",
            "fax_number": "718-761-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDELA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sallyann Macri, P.T.
• Julia Marie Macrino
• Laura Elizabeth Macron, NP
• Melissa Madalone, N.P.
• Shiju Madathinakath Jose, RN
• Haley Madden, LPN
• Olive Maddix, LPN
• Madelyn D. Pullman, MD, LLC
• Jose Garcia Madera
• Neil B Madero

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.