Victoria Maria Madino

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F339456-1 Issued in NY

Practice address

12 Kelvin Ave
Staten Island, NY 10306-3711

Phone

(646) 372-1976

NPI assigned

Nov 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Maria Madino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1265806616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KELVIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063711",
            "telephone_number": "646-372-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KELVIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063711",
            "telephone_number": "646-372-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADINO",
        "first_name": "VICTORIA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339456-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MADINO",
            "middle_name": "MARIA",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley Madden, LPN
• Olive Maddix, LPN
• Madelyn D. Pullman, MD, LLC
• Jose Garcia Madera
• Neil B Madero
• Madison Telehealth LLC
• Adeen Rodd Madison, P.A.
• Silvia Madison
• Elizabeth Madonia, LMHC,
• Ryan Madray

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.