Pamela J Madej, ANP, RN, MS

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F3023661 Issued in NY

Practice address

116 Everett Rd
Albany, NY 12205-1427

Phone

(518) 463-0171

Fax

(518) 463-0174

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sand Creek Medical PC

  • Specialist
  • Albany, NY
  • NPI 1275624900
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1255325825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051427",
            "telephone_number": "518-463-0171",
            "fax_number": "518-463-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051427",
            "telephone_number": "518-463-0171",
            "fax_number": "518-463-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEJ",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "ANP, RN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NY",
            "license": "F30236601",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3023661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000497460001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "500023660",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "347727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angad Madan, DO
• Betsy Madden
• Jaclyn Brie Madden, FNP
• Lisa Madden
• Sonya F Madden, PA
• Kathryn Madigan, PT
• Madison NP Psychiatry, PLLC
• Sierra Madison, LMHC
• Nalini A Madiwale, MD
• Amanda Madore

• Adult Health Nurse Practitioner in Albany, NY
• Providers in Albany, NY by specialty
• Adult Health Nurse Practitioner in New York

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