Madonna'S Well Woman Inc

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

License

FOOOO88 Issued in NY

Legal business name

MADONNA'S WELL WOMAN INC

Practice address

25412 Memphis Ave
Rosedale, NY 11422-2545

Phone

(718) 977-0777

Fax

(718) 977-0778

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Miss Madonna Mary Holder, C.N.M

Title

President

Phone

(718) 977-0777

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457553760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25412 MEMPHIS AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222545",
            "telephone_number": "718-977-0777",
            "fax_number": "718-977-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25412 MEMPHIS AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222545",
            "telephone_number": "718-977-0777",
            "fax_number": "718-977-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA'S WELL WOMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-977-0777",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "C.N.M"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NY",
            "license": "FOOOO88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01859723",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carole Louissaint
• Wanda A Lowe, MA-CCC/SLP
• Arielle Kerianne Lynch
• Qingfeng Ma
• Elizabeth Marie Madison, MA, RDN, CDN
• Gerald Maitre
• Marie Roosevelt Mallebranche
• Lavern Manning
• Ann Marie Manzo
• Yvan Mardy, M.D.

• Non-Surgical Family Planning Clinic/Center in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Non-Surgical Family Planning Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.