NPIMap

Organization Active NPI

Robert C Madonna Assoc. PC

  • Adult Medicine Physician
  • Drexel Hill, PA
National Provider Identifier
1750585204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ROBERT C MADONNA ASSOC. PC
Practice address
2504 Garrett Rd
Drexel Hill, PA 19026-1011
Phone
(610) 259-1622
Fax
(610) 259-9628
NPI assigned
Jun 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kim Madonna
Title
Office Manager
Phone
(610) 259-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X PA Primary

Addresses

Primary practice location

2504 Garrett Rd
Drexel Hill, PA 19026-1011

Mailing address

2504 Garrett Rd
Drexel Hill, PA 19026-1011
Phone (610) 259-1622

National Provider Directory

National Provider Directory
Tax ID family
Dr Robert C Madonna Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750585204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261011",
            "telephone_number": "610-259-1622",
            "fax_number": "610-259-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261011",
            "telephone_number": "610-259-1622",
            "fax_number": "610-259-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C MADONNA ASSOC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADONNA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-259-1622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.