Organization Active NPI

Michael Madden D P M P C

  • Primary Podiatric Medicine Podiatrist
  • White Plains, NY
National Provider Identifier
1518298488
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N3766-1 Issued in NY
Legal business name
MICHAEL MADDEN D P M P C
Practice address
311 North St
Suite 404
White Plains, NY 10605-2217
Phone
(914) 682-9440
Fax
(914) 682-9441
NPI assigned
Jan 15, 2010
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Michael J. Madden, D.P.M.NPI 1932297629
Title
Owner/President
Phone
(914) 682-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X N3766-1 NY Primary

Addresses

Primary practice location

311 North St
Suite 404
White Plains, NY 10605-2217

Mailing address

311 North St
Suite 404
White Plains, NY 10605-2217
Phone (914) 682-9440

Other identifiers 1

IdentifierTypeStateIssuer
03216951MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100215000357 NY Part B Supplier - Clinic/Group Practice 1355485376 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY
O20100930049457 NY DME Supplier - Physician - Podiatry 1355485376 Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

311 North St
Ste 404
White Plains, NY 10605
Phone (914) 682-9440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1518298488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORTH ST",
            "address_2": "SUITE 404",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052217",
            "telephone_number": "914-682-9440",
            "fax_number": "914-682-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH ST",
            "address_2": "SUITE 404",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052217",
            "telephone_number": "914-682-9440",
            "fax_number": "914-682-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MADDEN D P M P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "914-682-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N3766-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03216951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.