Active NPI
Mad PA Services, Inc
- Surgical Physician Assistant
- Spring Valley, NY
National Provider Identifier
1194029900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 008674
- Legal business name
- MAD PA SERVICES, INC
- Practice address
- 60 Williams Ave
Spring Valley, NY 10977-3008 - Phone
- (845) 352-0301
- NPI assigned
- Jan 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joshua Falto, P.A.
- Title
- C.O.O.
- Phone
- (646) 825-1040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 008674 | NY | Primary |
Addresses
Primary practice location
60 Williams Ave
Spring Valley, NY 10977-3008
Mailing address
60 Williams Ave
Spring Valley, NY 10977-3008
Phone (845) 352-0301
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299801600000",
"number": "1194029900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WILLIAMS AVE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109773008",
"telephone_number": "845-352-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WILLIAMS AVE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109773008",
"telephone_number": "845-352-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAD PA SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-08",
"last_updated": "2011-03-11",
"status": "A",
"authorized_official_last_name": "FALTO",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "646-825-1040",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.A."
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "008674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.