Active NPI
Michelle NG-Madayag, RN
- Registered Nurse
- Jersey City, NJ
National Provider Identifier
1740530419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NR14416500
- Practice address
- 120 Fowler Ave
Jersey City, NJ 07305-1910 - Phone
- (201) 721-5065
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR14416500 | NJ | Primary |
Addresses
Primary practice location
120 Fowler Ave
Jersey City, NJ 07305-1910
Mailing address
120 Fowler Ave
Jersey City, NJ 07305-1910
Phone (201) 721-5065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-2321534 | Other | NJ | LUTHERAN SENIOR HEALTHCARE INC. |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR14416500 | NJ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1740530419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 FOWLER AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051910",
"telephone_number": "201-721-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 FOWLER AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051910",
"telephone_number": "201-721-5065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG-MADAYAG",
"first_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR14416500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LUTHERAN SENIOR HEALTHCARE INC.",
"identifier": "35-2321534",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.