Organization Active NPI

Mad PA Services, Inc

  • Surgical Physician Assistant
  • Spring Valley, NY
National Provider Identifier
1194029900
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
008674 Issued in NY
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

Updated by the provider on Mar 11, 2011

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)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.