NPIMap

Individual provider Active NPI

Paul P Madura Jr., MD

  • Family Medicine Physician
  • Hampton, NJ
National Provider Identifier
1144255506
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03922600 Issued in NJ
Practice address
450 Charlestown Rd
Hampton, NJ 08827-2535
Phone
(908) 537-1042
Fax
(908) 537-1043
NPI assigned
Jul 12, 2006
Last updated
Jul 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 25MA03922600 NJ
Family Medicine Physician 207Q00000X 25MA03922600 NJ Primary

Addresses

Primary practice location

450 Charlestown Rd
Hampton, NJ 08827-2535

Mailing address

450 Charlestown Rd
Hampton, NJ 08827-2535
Phone (908) 537-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050519000410 NJ Practitioner - Family Practice 1759321003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Family Practice, LLCGroup PAC ID 7719033794, 2 clinicians

Practice addresses (Care Compare)

450 Charlestown Rd
Hampton, NJ 08827-2535
Phone (908) 537-1042

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03922600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Family Practice, LLC CurrentSince Jul 31, 2009 Accepting new patients
Country Arch Care Center, LLC Past Accepting new patients

Locations

450 Charlestown Rd
Hampton, NJ 08827
Phone (908) 537-1042

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paul.madura.p38@direct.hunterdon.nextgenshare.com

Organizations & group practices 2

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

Hospital & facility affiliations 7

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247270400000",
    "number": "1144255506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CHARLESTOWN RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088272535",
            "telephone_number": "908-537-1042",
            "fax_number": "908-537-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CHARLESTOWN RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088272535",
            "telephone_number": "908-537-1042",
            "fax_number": "908-537-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADURA",
        "first_name": "PAUL",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "25MA03922600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03922600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NJ

Sources for this page

Verify at the official NPI Registry.