Madonna Cabangbang, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

584525 Issued in NY

Practice address

4 Betty Anne Dr
Rensselaer, NY 12144-9644

Phone

(609) 647-0566

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1477306306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BETTY ANNE DR",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449644",
            "telephone_number": "609-647-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BETTY ANNE DR",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449644",
            "telephone_number": "609-647-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANGBANG",
        "first_name": "MADONNA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "584525",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "584525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Breton
• Mary Kathleen Broderick, MS ED
• Donna Brown
• Deborah Brubaker
• C & L Transport Inc.
• Steven H Calderon, DMD
• Vanessa Calderon, D.M.D.
• Joel C Campbell
• Kevin Campopiano, RN
• Capital Primary Care, Inc.

• Pediatric Registered Nurse in Rensselaer, NY
• Providers in Rensselaer, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.