Active NPI
Anthony V Maddalo, M.D.
- Orthopaedic Surgery Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 152084
- Practice address
- 24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532-1541 - Phone
- (914) 631-7777
- Fax
- (914) 631-0920
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 152084 | NY | Primary |
Addresses
Primary practice location
24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532-1541
Mailing address
24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532-1541
Phone (914) 631-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 964470 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York Medical College, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24 Saw Mill River Rd
Suite 206
Hawthorne, NY 10532-1555
Phone (914) 631-7777
Hospital & facility affiliations
- White Plains Hospital Center
- Phelps Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152084 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Physician Services PC | Current | Accepting new patients |
Locations
24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532
Phone (914) 631-0920
185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020
819 Yonkers Ave
Ste 2
Yonkers, NY 10704
Phone (914) 631-7777
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609800150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SAW MILL RIVER RD",
"address_2": "STE 206",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321541",
"telephone_number": "914-631-7777",
"fax_number": "914-631-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SAW MILL RIVER RD",
"address_2": "STE 206",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321541",
"telephone_number": "914-631-7777",
"fax_number": "914-631-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDALO",
"first_name": "ANTHONY",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "152084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "964470",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.