Individual provider Active NPI

Madalyn Cowles, OD

  • Optometrist
  • Ewing, NJ
National Provider Identifier
1457428583
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W00000X Issued in NJ
Practice address
1400 Parkway Ave
Ewing, NJ 08628-3021
Phone
(609) 771-0088
Fax
(609) 771-0845
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 152W00000X NJ Primary

Addresses

Primary practice location

1400 Parkway Ave
Ewing, NJ 08628-3021

Mailing address

175 E Houston Street
San Antonio, TX 78205-0000
Phone (210) 524-6509

Other names 1

  • Madalyn Cuff Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040918000103 NJ Practitioner - Optometry 1153399027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
152W00000XNJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients
Charles M. Cummins OD PA Optometrist Past Accepting new patients
Charles M. Cummins, OD, PA Optometrist Past Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

641 Shunpike Rd
Chatham Twp, NJ 07928
Phone (201) 377-5566

1410 Parkway Ave
Ste H
Ewing, NJ 08628
Phone (609) 771-0088

1400 Parkway Ave
Ste H
Ewing, NJ 08628

1400 Parkway Ave
Ewing, NJ 08628
Phone (609) 323-7503

475 Nassau Park Blvd
Princeton, NJ 08540
Phone (609) 243-8902

426 Raritan St
Sayreville, NJ 08872
Phone (908) 727-2200

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1457428583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON STREET",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782050000",
            "telephone_number": "210-524-6509",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283021",
            "telephone_number": "609-771-0088",
            "fax_number": "609-771-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLES",
        "first_name": "MADALYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADALYN",
            "last_name": "CUFF",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.