Madelyn D. Pullman, MD, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

122312 Issued in NY

Legal business name

MADELYN D. PULLMAN, MD, LLC

Practice address

1551 Richmond Rd
Staten Island, NY 10304-2313

Phone

(718) 987-5330

Fax

(718) 984-8812

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Madelyn D Pullman, M.D.

Title

Owner

Phone

(718) 987-5330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1164513206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-987-5330",
            "fax_number": "718-984-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-987-5330",
            "fax_number": "718-984-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELYN D. PULLMAN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "PULLMAN",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-987-5330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "122312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Madalone, N.P.
• Shiju Madathinakath Jose, RN
• Elizabeth Maddela, MD
• Haley Madden, LPN
• Olive Maddix, LPN
• Jose Garcia Madera
• Neil B Madero
• Victoria Maria Madino
• Madison Telehealth LLC
• Adeen Rodd Madison, P.A.

• Ophthalmology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.