Poornima Madanapalli, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DI02324000 Issued in NJ

Practice address

319 W Landis Ave
Vineland, NJ 08360-8101

Phone

(856) 691-3300

Fax

(856) 794-7183

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1154489771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MOORSLEIGH WAY",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913032",
            "telephone_number": "917-698-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608101",
            "telephone_number": "856-691-3300",
            "fax_number": "856-794-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANAPALLI",
        "first_name": "POORNIMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02324000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & M Community Services
• Katherine Ma, D.M.D.
• John Joseph Maccarella, PT, MSPT
• Sherry Lea Macpherson, PH.D, L.P.C.,A.C.S.
• Juliana Macrini, PT, DPT
• Laurie Ann Magargal, RPH
• Main Pharmacy LLC
• Stephen Maina, RN
• Mainiero Family Chiropractic Center Inc
• John Joseph Mainiero, DC

• Dentist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.