Individual provider Active NPI

Madiam Figueredo

  • Dentist
  • North Bergen, NJ
National Provider Identifier
1700112232
Registry record updated Oct 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02419800 Issued in NJ
Practice address
1437 46TH St
North Bergen, NJ 07047-2911
Phone
(201) 766-3363
NPI assigned
Oct 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02419800 NJ Primary

Addresses

Primary practice location

1437 46TH St
North Bergen, NJ 07047-2911

Mailing address

1437 46TH St
North Bergen, NJ 07047-2911

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

State licenses

LicenseStateTypeSpecialty
22DI02419800NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1255737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255737600000",
    "number": "1700112232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 46TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 46TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472911",
            "telephone_number": "201-766-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEREDO",
        "first_name": "MADIAM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-17",
        "last_updated": "2009-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02419800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2009; 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.