Active NPI
M Angela Madden LLC
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1548515968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME79511
- Legal business name
- M ANGELA MADDEN LLC
- Practice address
- 1130 Bayview Dr
Fort Lauderdale, FL 33304-2505 - Phone
- (954) 563-3158
- Fax
- (954) 563-5874
- NPI assigned
- Jul 23, 2012
- Last updated
- Aug 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary A Madden, MD
- Title
- Doctor
- Phone
- (954) 563-3158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME79511 | FL | Primary |
Addresses
Primary practice location
1130 Bayview Dr
Fort Lauderdale, FL 33304-2505
Mailing address
1130 Bayview Dr
Fort Lauderdale, FL 33304-2505
Phone (954) 563-3158
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0463133 | Other | FL | AETNA |
| F00219567801 | Other | NEIGHBORHOOD HEALTH | |
| 0001185 | Other | FL | AARP MEDICARE COMPLETE |
| 51661 | Other | FL | MEDICARE |
| CK2070 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1130 Bayview Dr
Ft Lauderdale, FL 33304
Phone (954) 563-3158
1700 NE 26th St
Wilton Manors, FL 33305
Phone (954) 563-5861
1700 NE 26th St
Ste 4
Wilton Manors, FL 33305
Phone (954) 563-3158
Interoperability endpoints
- https://api.platform.athenahealth.com/17224/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Wilton Manors, FL
- NPI 1083720957
-
- Vascular & Interventional Radiology Physician
- Pompano Beach, FL
- NPI 1801899042
-
- Cardiovascular Disease Physician
- Plantation, FL
- NPI 1194799387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343865600000",
"number": "1548515968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 BAYVIEW DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042505",
"telephone_number": "954-563-3158",
"fax_number": "954-563-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BAYVIEW DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333042505",
"telephone_number": "954-563-3158",
"fax_number": "954-563-5874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M ANGELA MADDEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-23",
"last_updated": "2012-08-02",
"status": "A",
"authorized_official_last_name": "MADDEN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "954-563-3158",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME79511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0463133",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "F00219567801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP MEDICARE COMPLETE",
"identifier": "0001185",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "51661",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK2070",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Shannon Lynch, LCSW
- Lynn Etherapy, PLLC
- Taryn Conner Lynn, CRNA
- Karen A. Lyttle, LCSW
- Esther G Lytzynco Palaciyo, SLP
- M Oaks Opco LLC (The Savoy at Fort Lauderdale Rehabilitation and Nursing Center)
- M. Ross Seligson, PH.D., P.a.
- M.a.X. Corp (A Atlantic Hearing Aid Center)
- M.Rammohan
- Alexis M'Sadoques
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.