Jennifer Maddaloni, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP010598 Issued in PA

Practice address

2200 Hamilton St Ste 308
Allentown, PA 18104-6359

Phone

(610) 481-9600

Fax

(610) 481-0225

NPI assigned

Jan 19, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Care Associates of the University of Pennsylvania Health.Group PAC ID 4688588866, 591 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
• Chester County Hospital Hospital, West Chester, PA, CCN 390179

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clinical Care Associates of the University of Pennsylvania Health

  • Internal Medicine Physician
  • Radnor, PA
  • NPI 1972682995
  Medicare reassignment Care Compare group NPD
• Clinical Care Associates of the University of

  • Anesthesiology Physician
  • West Chester, PA
  • NPI 1518541887
  NPD
• Clinical Care Associates of the University of Pennsylvania Health

  • Psychologist
  • West Chester, PA
  • NPI 1649940107
  NPD
• Healing Path Psychology

  • Clinical Psychologist
  • Bethlehem, PA
  • NPI 1124502232
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chester County Hospital

  • General Acute Care Hospital
  • West Chester, PA
  • NPI 1356333579
  Care Compare affiliation
• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Phoenixville Hospital, LLC

  • General Acute Care Hospital
  • Phoenixville, PA
  • NPI 1750805552
  Care Compare affiliation
• Pottstown Hospital, LLC

  • Hematology & Oncology Physician
  • Pottstown, PA
  • NPI 1093225369

  Hospital

  Care Compare affiliation
• Pottstown Hospital, LLC

  • General Acute Care Hospital
  • Pottstown, PA
  • NPI 1649794421
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1174854939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HAMILTON ST STE 308",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046359",
            "telephone_number": "610-481-9600",
            "fax_number": "610-481-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAMILTON ST STE 308",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046359",
            "telephone_number": "610-481-9600",
            "fax_number": "610-481-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Chew St",
            "address_2": "STE 304",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023472",
            "country_code": "US",
            "telephone_number": "610-481-9600",
            "fax_number": "610-481-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "649 N Lewis Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "194681234",
            "country_code": "US",
            "telephone_number": "610-481-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDALONI",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032551220002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Randy Paul Macsisak
• Matthew Macus
• Judith A Madaus, CRNP
• Robert G. Madeira, MD
• Joshua Daniel Madera
• Lori Simmons Madiara, PT DPT
• Janine Suzanne Madsen, LMT
• Kevin Madtes, MD

• Family Nurse Practitioner in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.