Jill Grosso Madey, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02479 Issued in MD

Practice address

292 Aston Forest LN
Crownsville, MD 21032-1606

Phone

(703) 303-5457

NPI assigned

Jan 11, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1477061430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 ASTON FOREST LN",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321606",
            "telephone_number": "703-303-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 ASTON FOREST LN",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321606",
            "telephone_number": "703-303-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEY",
        "first_name": "JILL",
        "middle_name": "GROSSO",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Legg
• Carla A. Leonard, RN, CS-P
• Elizabeth Ann Lilly, M.D.
• Dariush Liske-Doorandish II, M.D.
• Mark Cameron Livingston, L.C.S.W.C.
• Raj Manickam, MD
• Melindia Mann, DNP, CNM, WHNP-BC
• Julie Ann Marsh, LCPC
• Maryland Holistic Dentistry
• Patricia A McNulty, CAC-AD

• All providers in Crownsville, MD
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.