Individual provider Active NPI

Harvey Lloyd Madonick, MD

  • Internal Medicine Physician
  • Manahawkin, NJ
National Provider Identifier
1871530733
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101242069 Issued in VA
Practice address
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone
(606) 978-8960
NPI assigned
Jun 1, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA73163 NJ
Internal Medicine Physician 207R00000X 0101242069 VA Primary

Addresses

Primary practice location

1140 Route 72 W
Manahawkin, NJ 08050-2412

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other identifiers 3

IdentifierTypeStateIssuer
1871530733MedicaidVA
303316OtherVABLUE SHIELD
P00417572OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070911000556 VA Practitioner - Emergency Medicine 9335196575 Reassigns benefits to 5 organizations
I20240222004298 FL Practitioner - Emergency Medicine 9335196575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingleside Emergency Group LLCGroup PAC ID 1355698317, 29 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1 Arh LN
Low Moor, VA 24457-5702
Phone (540) 862-6011

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
86.53
Improvement activities
40
Cost
86.33

Merit-based Incentive Payment System (MIPS)

Final score
99.05 of 100Reported as group
Quality
94.52
Improvement activities
40
Cost
88.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA73163NJMDEmergency Medicine Physician
0101242069VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Oct 31, 2016 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Oct 31, 2016 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jan 20, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Ridgeline Physician Services, LLC Current Accepting new patients
Kingsford Physician Services, LLC CurrentSince May 16, 2021 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince May 10, 2021 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince May 11, 2021 Accepting new patients
Barron Emergency Physicians LLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients
Tidal Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

200 Corporate Blvd
Lafayette, LA 70508

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1871530733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502412",
            "telephone_number": "606-978-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONICK",
        "first_name": "HARVEY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA73163",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101242069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871530733",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "303316",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00417572",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.