Samuel David Maldonado, MD

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

25MA07395100 Issued in NJ

Practice address

36 Bluebird CT
Flemington, NJ 08822-5506

Phone

(908) 237-2870

Fax

(908) 237-2871

NPI assigned

Dec 18, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1073842159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BLUEBIRD CT",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225506",
            "telephone_number": "908-237-2870",
            "fax_number": "908-237-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BLUEBIRD CT",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225506",
            "telephone_number": "908-237-2870",
            "fax_number": "908-237-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NJ",
            "license": "25MA07395100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rachel Mahony, LPC
• Mimi Mak, MD
• Martina Makarious, PHARMD
• Sonja Malcolm, LPC
• Lourdes Maldenado-Viera, M.D.
• Cathleen Donovan Maloy, PA
• Cailey Maman, LSW
• Roderick Manalo, BCBA
• Dennis Richard Manchen, M.D.
• Karen R. Manfre', ATHLETIC TRAINER

• Pediatric Infectious Diseases Physician in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Pediatric Infectious Diseases Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.