Organization Active NPI

James M. Madden, MD, PA

  • Allergy & Immunology Physician
  • Manahawkin, NJ
National Provider Identifier
1104929439
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA58711 Issued in NJ
Legal business name
JAMES M. MADDEN, MD, PA
Practice address
400 E Bay Ave
Manahawkin, NJ 08050
Phone
(609) 978-7200
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. James M. Madden, M.D.NPI 1891788147
Title
President
Phone
(609) 978-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X MA58711 NJ Primary

Addresses

Primary practice location

400 E Bay Ave
Manahawkin, NJ 08050

Mailing address

PO Box 430
Manahawkin, NJ 08050-0430
Phone (609) 978-7200

Other identifiers 1

IdentifierTypeStateIssuer
6012604MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101015000226 NJ Part B Supplier - Clinic/Group Practice 2860685419 Receives reassigned benefits from 1 practitioner
Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

400 E Bay Ave
Manahawkin, NJ 08050
Phone (609) 978-7200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1104929439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080500430",
            "telephone_number": "609-978-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E BAY AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-978-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. MADDEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-978-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA58711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6012604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.