Active NPI
Dr.Madeline Pugliese D.O. PLLC
- Pediatrics Physician
- Port Washington, NY
National Provider Identifier
1205969573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 196346
- Legal business name
- DR.MADELINE PUGLIESE D.O. PLLC
- Practice address
- 211 Main St
Port Washington, NY 11050-3211 - Phone
- (516) 944-8555
- Fax
- (516) 944-0387
- NPI assigned
- Mar 14, 2007
- 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
- Dr. Madeline Melissa Pugliese, D.O
- Title
- Owner
- Phone
- (516) 944-8555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 196346 | NY | Primary |
Addresses
Primary practice location
211 Main St
Port Washington, NY 11050-3211
Mailing address
211 Main St
Port Washington, NY 11050-3211
Phone (516) 944-8555
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205969573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 MAIN ST",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503211",
"telephone_number": "516-944-8555",
"fax_number": "516-944-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 MAIN ST",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503211",
"telephone_number": "516-944-8555",
"fax_number": "516-944-0387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR.MADELINE PUGLIESE D.O. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PUGLIESE",
"authorized_official_first_name": "MADELINE",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-944-8555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "196346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.