NPIMap

Individual provider Active NPI

Ralph R Madeb, M.D.

  • Urology Physician
  • Newark, NY
National Provider Identifier
1073627337
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
233967 Issued in NY
Practice address
1202 Driving Park Ave
Newark, NY 14513-1057
Phone
(585) 922-3150
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 233967 NY Primary

Addresses

Primary practice location

1202 Driving Park Ave
Newark, NY 14513-1057

Mailing address

1202 Driving Park Ave
Ste 5
Newark, NY 14513-1057

Other identifiers 1

IdentifierTypeStateIssuer
02897703MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000598 NY Practitioner - Urology 1951343490 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isaac Madeb MD PCGroup PAC ID 5395899611, 2 clinicians

Practice addresses (Care Compare)

2241 Ocean Ave
Brooklyn, NY 11229-2303
Phone (718) 375-3746

316 Gravesend Neck Rd
Brooklyn, NY 11223-4843
Phone (646) 835-0809

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.85 of 100Reported as individual
Quality
34.86
Improvement activities
40
Cost
55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
233967NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Madeb MD PC CurrentSince Nov 1, 2014 Accepting new patients
Lake Country Urology PLLC Urology CurrentSince Sep 9, 2020 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jan 1, 2015 Accepting new patients
Maimonides Medical Center Current Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Feb 1, 2026 Accepting new patients
S Salama Physicians PC Past Accepting new patients

Locations

517 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 934-5559

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2241 Ocean Ave
Brooklyn, NY 11229
Phone (718) 375-3746

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Interoperability endpoints

  • Direct secure messaging: ralphmadeb@mai.allscriptsdirect.net
  • Direct secure messaging: rmadeb100565@nyumc.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1073627337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 DRIVING PARK AVE",
            "address_2": "STE 5",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "585-922-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEB",
        "first_name": "RALPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "233967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02897703",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.