Active NPI
Farideh M Madani, DMD
- Dentist
- Bala Cynwyd, PA
National Provider Identifier
1871892844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS024793L
- Practice address
- 15 N Presidential Blvd
Suite 301
Bala Cynwyd, PA 19004-1006 - Phone
- (610) 667-6161
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS024793L | PA | Primary |
Addresses
Primary practice location
15 N Presidential Blvd
Suite 301
Bala Cynwyd, PA 19004-1006
Mailing address
15 N Presidential Blvd
Suite 301
Bala Cynwyd, PA 19004-1006
Phone (610) 667-6161
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS024793L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bala Institute of Oral Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Bala Cynwyd, PA
- NPI 1477567782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1871892844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N PRESIDENTIAL BLVD",
"address_2": "SUITE 301",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041006",
"telephone_number": "610-667-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N PRESIDENTIAL BLVD",
"address_2": "SUITE 301",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041006",
"telephone_number": "610-667-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADANI",
"first_name": "FARIDEH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS024793L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.