Maria D Madonna, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

22DI02148700 Issued in NJ

Practice address

176 Broadway
Paterson, NJ 07505-1115

Phone

(973) 321-1277

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Maria De Paola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Paterson Division of Health

  • State or Local Public Health Clinic/Center
  • Paterson, NJ
  • NPI 1306808373
  NPD (past)
• Paterson Division of Health

  • Public Health or Welfare Agency
  • Paterson, NJ
  • NPI 1801001300
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1336400852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051115",
            "telephone_number": "973-321-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051115",
            "telephone_number": "973-321-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONNA",
        "first_name": "MARIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NJ",
            "license": "22DI02148700",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NY",
            "license": "039756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DE PAOLA",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maasp Inc (Maa Pharmacy Department)
• John Macias, MD
• Shauna Mackenzie, MD
• Justin Macrae, DDS
• Hannah Maddox, LCSW
• Mary Lynn Magarelli, D.O.
• Alexander Vincent Magasic, MD
• Dashawnia Magazine
• Israi Mahmoud Mahgoub
• Shevani Mahindra

• Public Health Dentistry in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Public Health Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.