Carmelo Maddy

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP93822878 Issued in FL

Practice address

16601 NE 6TH Ave
Miami, FL 33162-3607

Phone

(305) 956-2707

Fax

(305) 956-9079

NPI assigned

Nov 1, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Select Medical Clinic, Inc

  • Clinic/Center
  • North Miami Beach, FL
  • NPI 1659504199
  Medicare reassignment NPD
• Sung Ho Bae, DPM, P.a

  dba Baefoot Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Miami Shores, FL
  • NPI 1447501820
  NPD (past)

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414800000000",
    "number": "1629473673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 NE 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623607",
            "telephone_number": "305-956-2707",
            "fax_number": "305-956-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 NE 6TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623607",
            "telephone_number": "305-956-2707",
            "fax_number": "305-956-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDY",
        "first_name": "CARMELO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP93822878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisstina Madan, ARNP
• Maria Elena Madan, RPH
• Solanch Madan
• Alexander Simon Stephen Maddock
• Madison Maddox
• Madel Pharmacy, Corp
• Madeleine Rodriguez-Alonso MD PA
• Madelin Home Care Corp
• Madelin Home Care Corp.
• Madelin Moya Borroto MD PA

• Primary Care Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.