Warren Christian Madsen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01706900 Issued in NJ

Practice address

432 Avenel St
Avenel, NJ 07001-1150

Phone

(732) 634-4797

Fax

(732) 634-6109

NPI assigned

Apr 26, 2006

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jersey Shore Psychiatric Services LLC

  • Clinic/Center
  • Avenel, NJ
  • NPI 1417499260
  NPD (past)
• Xcellcare Medical Practice LLC

  • Internal Medicine Physician
  • Avenel, NJ
  • NPI 1659177582
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1366408478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011150",
            "telephone_number": "732-634-4797",
            "fax_number": "732-634-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011150",
            "telephone_number": "732-634-4797",
            "fax_number": "732-634-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "WARREN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01706900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bashkim Limani, M.D.
• Lingua Learning LLC
• Nataliya Lizanets, NP
• Michael T Lu, MD
• Mydung Lu, D.D.S
• Magnificent Healthcare and Rehab Services LLC
• Jaime Magsino, D.D.S
• Elizabeth Magyarits
• Anna Makarova
• Sara Mangelsdorf

• General Practice Dentistry in Avenel, NJ
• Providers in Avenel, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.