Madonna OBGYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

207415 Issued in NY

Legal business name

MADONNA OBGYN PLLC

Practice address

1882 Winton Rd S
Suite 3
Rochester, NY 14618-3950

Phone

(585) 698-7077

Fax

(585) 461-4105

NPI assigned

Nov 11, 2014

Last updated

Jan 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madonna TomaniNPI 1184687188

Title

Owner

Phone

(585) 698-7077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madonna Rose Tomani, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1184687188
  Medicare reassignment Authorized official
• Sraddha Seshadri Prativadi, MD

  • Obstetrics & Gynecology Physician
  • Orlando, FL
  • NPI 1851300495
  NPD (past)

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1205232758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 WINTON RD S",
            "address_2": "SUITE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183950",
            "telephone_number": "585-698-7077",
            "fax_number": "585-461-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 WINTON RD S",
            "address_2": "SUITE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183950",
            "telephone_number": "585-698-7077",
            "fax_number": "585-461-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "TOMANI",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-698-7077"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "207415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Maddox
• Rafael Madero, MD
• Veena Rama Madiraju
• Diamond Deanna Madison, LPN
• Jessica Danielle Madison, LPN
• Norman Madsen, BMBS
• Jason C Maedl, LMFT
• Jeannie Maedl
• Linda Maehr, R.N.
• Marina Elisia Maerkl, PT, DPT

• Obstetrics & Gynecology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.