Organization Active NPI

Joseph L. Maddi, Physician, P.C.

  • Cardiovascular Disease Physician
  • Amherst, NY
National Provider Identifier
1073795217
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
149577-1 Issued in NY
Legal business name
JOSEPH L. MADDI, PHYSICIAN, P.C.
Practice address
4225 Maple Rd
Amherst, NY 14226-1039
Phone
(716) 834-0281
Fax
(716) 834-0222
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Joseph L Maddi, M.D.
Title
Owner
Phone
(716) 634-0281

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 149577-1 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 149577-1 NY Primary

Addresses

Primary practice location

4225 Maple Rd
Amherst, NY 14226-1039

Mailing address

4225 Maple Rd
Amherst, NY 14226-1039
Phone (716) 834-0221

Other identifiers 3

IdentifierTypeStateIssuer
GRP512183005OtherNYBLUE CROSS BLUE SHIELD
00010108705OtherNYUNIVERA
2107103OtherNYINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

Locations

4225 Maple Rd
Buffalo, NY 14226
Phone (716) 759-4938

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1073795217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261039",
            "telephone_number": "716-834-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261039",
            "telephone_number": "716-834-0281",
            "fax_number": "716-834-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L. MADDI, PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "MADDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-634-0281",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "149577-1",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "149577-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "GRP512183005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010108705",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2107103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.