Active NPI
Monika Madan, DMD
- Periodontics
- Boston, MA
National Provider Identifier
1285895326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- BB1832268PMM2
- Practice address
- 700 Albany St
G217
Boston, MA 02118-2518 - Phone
- (617) 638-4750
- Fax
- (617) 638-6170
- NPI assigned
- Jun 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | BB1832268PMM2 | MA | Primary |
Addresses
Primary practice location
700 Albany St
G217
Boston, MA 02118-2518
Mailing address
700 Albany St
G217
Boston, MA 02118-2518
Phone (617) 638-4750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BB1832268PMM2 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1285895326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ALBANY ST",
"address_2": "G217",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182518",
"telephone_number": "617-638-4750",
"fax_number": "617-638-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ALBANY ST",
"address_2": "G217",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182518",
"telephone_number": "617-638-4750",
"fax_number": "617-638-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADAN",
"first_name": "MONIKA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "BB1832268PMM2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.