Mark Madis,M.D. , LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

25MA04014100 Issued in NJ

Legal business name

MARK MADIS,M.D. , LLC

Practice address

212 Route 94
Suite 1a
Vernon, NJ 07462-3328

Phone

(973) 864-5033

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Steven Madis, M.D.

Title

Owner

Phone

(973) 864-5033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124235452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074621010",
            "telephone_number": "973-864-5033",
            "fax_number": "973-209-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ROUTE 94",
            "address_2": "SUITE 1A",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623328",
            "telephone_number": "973-864-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MADIS,M.D. , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-864-5033",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA04014100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Better Institute, Inc.
• Carolyn Locascio, CSA
• Elise Lodema
• Emily Majka, PT, DPT
• William Joseph Marion, DO
• Charles W. Markham, LPC
• Alyne Prado Mascarenhas, PTA
• Emily McElroy
• Matthew Meluso, PT, DPT
• Mind Over Matter Services LLC

• Gynecology Physician in Vernon, NJ
• Providers in Vernon, NJ by specialty
• Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.