Madeline Ortiz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

016507-1 Issued in NY

Practice address

521 W 181St St
Freeport
New York, NY 10033-5102

Phone

(347) 756-6000

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By the provider in NPPES

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 NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 181St Street Medical P.C.

  dba 181st Street Urgent Care Center

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1922345768
  Medicare reassignment
• Audubon Primary Care Medicine PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1851736441
  Medicare reassignment
• Mark Medical Care Nassau PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1609252907
  NPD (past)
• Radiology Interpretation Technology PLLC

  • Specialist
  • Ridgewood, NY
  • NPI 1700476462
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1164856910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SMITH ST APT 1E",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204466",
            "telephone_number": "516-497-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 181ST ST",
            "address_2": "FREEPORT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335102",
            "telephone_number": "347-756-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MADELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016507-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ortiz, LMSW
• Lexis Ortiz
• Lourdes Ortiz, LCSW
• Lydia Ortiz
• Lynnette Enid Ortiz, LCSW/MPH
• Maria E Ortiz, M.A., LCSW
• Martin Diego Ortiz, M.D.
• Mirianny Ortiz
• Nancy Ortiz, PHARMD, RPH
• Nidia Ortiz, RN, CPNP

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.