Organization Active NPI

Madison Telehealth LLC

  • Nursing Care Agency
  • Staten Island, NY
National Provider Identifier
1881580751
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MADISON TELEHEALTH LLC
Practice address
139 Commodore Dr
Staten Island, NY 10309-3983
Phone
(718) 612-3983
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Mrs. Nicole Depaolo, RNNPI 1518853514
Title
RN
Phone
(718) 612-3983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

139 Commodore Dr
Staten Island, NY 10309-3983

Mailing address

139 Commodore Dr
Staten Island, NY 10309-3983
Phone (718) 612-3983

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1881580751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 COMMODORE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093983",
            "telephone_number": "718-612-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 COMMODORE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093983",
            "telephone_number": "718-612-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "DEPAOLO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "718-612-3983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.