Individual provider Active NPI

Madiey F. Lawindy, M.D.

  • Pediatrics Physician
  • Port Orange, FL
National Provider Identifier
1639216005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME#0053399 Issued in FL
Practice address
900 N Swallowtail Dr
Suite # 106
Port Orange, FL 32129-6102
Phone
(386) 304-1919
Fax
(386) 304-1918
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME#0053399FLMDPediatrics Physician

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME#0053399 FL Primary

Addresses

Primary practice location

900 N Swallowtail Dr
Suite # 106
Port Orange, FL 32129-6102

Mailing address

900 N Swallowtail Dr
Suite # 106
Port Orange, FL 32129-6102
Phone (386) 304-1919

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639216005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N SWALLOWTAIL DR",
            "address_2": "SUITE # 106",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296102",
            "telephone_number": "386-304-1919",
            "fax_number": "386-304-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWALLOWTAIL DR",
            "address_2": "SUITE # 106",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296102",
            "telephone_number": "386-304-1919",
            "fax_number": "386-304-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWINDY",
        "first_name": "MADIEY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME#0053399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.