Madelyn D. Pullman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

122312 Issued in NY

Practice address

1551 Richmond Road
Staten Island, NY 10304-2313

Phone

(718) 987-5330

Fax

(718) 987-5437

NPI assigned

Aug 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• The New York Eye & Ear Infirmary Ophthalmology Associates, P.C.

  • Specialist
  • New York, NY
  • NPI 1811931041
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1386646248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-987-5330",
            "fax_number": "718-987-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RICHMOND ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042313",
            "telephone_number": "718-987-5330",
            "fax_number": "718-987-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLMAN",
        "first_name": "MADELYN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "122312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Theresa Puglisi, BSPT
• Vincenzo Joseph Puglisi, M.S., CCC-SLP
• Kathleen Elizabeth Pulisciano, MS, CCC-SLP
• Jessica Ann Pulizzano, TEACHER
• Antonio Vito Pullano, MD
• Jennifer Marie Pumarejo, D.M.D.
• Teresita M Punzalan, LPN
• Angelika Pupiec
• Priyanka Vijay Purohit, P.T.
• Purow MD Shaps MD PC

• Ophthalmology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.