Active NPI
Sewpersaud R Madho, C.P.,
- Prosthetist
- Schenectady, NY
National Provider Identifier
1467780882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CP003663
- Practice address
- 1479 Parkwood Blvd
Suite 101
Schenectady, NY 12308-2525 - Phone
- (518) 370-3005
- Fax
- (518) 370-3005
- NPI assigned
- Nov 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CP003663 | DE | Primary |
Addresses
Primary practice location
1479 Parkwood Blvd
Suite 101
Schenectady, NY 12308-2525
Mailing address
1479 Parkwood Blvd Ste 101
Schenectady, NY 12308-2525
Phone (518) 370-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400202272001 | Other | NY | CDPHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP003663 | DE | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosthetic Care Services 'Procare' Inc., | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Schenectady, NY
- NPI 1447592654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1467780882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 PARKWOOD BLVD STE 101",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082525",
"telephone_number": "518-370-3005",
"fax_number": "518-370-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 PARKWOOD BLVD",
"address_2": "SUITE 101",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082525",
"telephone_number": "518-370-3005",
"fax_number": "518-370-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADHO",
"first_name": "SEWPERSAUD",
"middle_name": "R",
"credential": "C.P.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-23",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "DE",
"license": "CP003663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "400202272001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.