Stephanie Madeja, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030063 Issued in NY

Practice address

51 Saint Johns Parkside St
Buffalo, NY 14210-2515

Phone

(716) 828-9560

Fax

(716) 828-7454

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baker Hall Inc

  dba Baker Victory Services

  • Early Intervention Provider Agency
  • Lackawanna, NY
  • NPI 1700013927
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1497341390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 SOUTHWESTERN BLVD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753631",
            "telephone_number": "716-359-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SAINT JOHNS PARKSIDE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102515",
            "telephone_number": "716-828-9560",
            "fax_number": "716-828-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEJA",
        "first_name": "STEPHANIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngonidzashe Madambi, RPH
• Patrick Louis Maddalena, D.C.
• Abhiram Maddi, DDS
• Amanda Lee Madding, MSW
• Ayana Annette Maddox
• Srivats Madhavan, MBBS
• Mohan Madhusudanan, M.D.
• Madina Pharmacy Inc
• Madison Geiser LCSW, PLLC
• Barbara Jane Madison, R.PH.

• Speech-Language Pathologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.