Organization Active NPI

Vincent V Madonia MD PC

  • Cardiovascular Disease Physician
  • Garden City, NY
National Provider Identifier
1194832295
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
071433 Issued in NY
Legal business name
VINCENT V MADONIA MD PC
Practice address
520 Franklin Ave
Suite 103
Garden City, NY 11530-5814
Phone
(516) 741-6222
Fax
(516) 741-6241
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Vincent V Madonia, MD
Title
President
Phone
(516) 741-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 071433 NY Primary

Addresses

Primary practice location

520 Franklin Ave
Suite 103
Garden City, NY 11530-5814

Mailing address

520 Franklin Ave
Suite 103
Garden City, NY 11530-5814
Phone (516) 741-6222

Other identifiers 1

IdentifierTypeStateIssuer
00297030MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1194832295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305814",
            "telephone_number": "516-741-6222",
            "fax_number": "516-741-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE 103",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305814",
            "telephone_number": "516-741-6222",
            "fax_number": "516-741-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT V MADONIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "MADONIA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-741-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "071433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00297030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.