Madison Square Medical

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

236127-1 Issued in NY

Legal business name

MADISON SQUARE MEDICAL

Practice address

51 E 25TH St
4TH Floor, Suite 4B
New York, NY 10010-2945

Phone

(212) 533-2400

NPI assigned

Aug 7, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn Khodadadian, M.D.

Title

Partner

Phone

(212) 533-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1649656018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 25TH ST",
            "address_2": "4TH FLOOR, SUITE 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102945",
            "telephone_number": "212-533-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 25TH ST",
            "address_2": "4TH FLOOR, SUITE 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102945",
            "telephone_number": "212-533-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SQUARE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "KHODADADIAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-533-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "236127-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Plastic Surgery P.C
• Madison RX Pharmacy Inc.
• Madison Specialty Pharmacy, Inc.
• Madison Square Chiropractic and Acupuncture, PLLC
• Madison Square Comprehensive Medical Care, PLLC (Advanced Pathology Laboratories)
• Madison Surgical Associates
• Madison Surgical Obs, LLC
• Colby Madison
• Julia Marie Madison, LCSW
• Kya Madison

• Multi-Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.