Active NPI
Madeleine L Pearce, BA IN APPLIES PHYCH
- Case Manager/Care Coordinator
- Rockaway Park, NY
National Provider Identifier
1164075321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 11506 Rockaway Beach Blvd
Rockaway Park, NY 11694-2346 - Phone
- (718) 554-7766
- Fax
- (718) 945-7766
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
11506 Rockaway Beach Blvd
Rockaway Park, NY 11694-2346
Mailing address
221 Linden Blvd Apt B23
Brooklyn, NY 11226-3427
Phone (408) 460-5199
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpearce@bandykids.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RN Occupational Therapy P.C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Jamaica, NY
- NPI 1023852811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1164075321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 LINDEN BLVD APT B23",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112263427",
"telephone_number": "408-460-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11506 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942346",
"telephone_number": "718-554-7766",
"fax_number": "718-945-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "MADELEINE",
"middle_name": "L",
"credential": "BA IN APPLIES PHYCH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpearce@bandykids.com",
"affiliation": "N",
"endpointDescription": "Secure Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure work email",
"address_1": "11506 Rockaway Beach Blvd",
"city": "Rockaway Park",
"state": "NY",
"country_code": "US",
"postal_code": "116942346",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.