Madeleine B Kitaj, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036240 Issued in CT

Practice address

30 Quaker Farms Rd
Southbury, CT 06488-2732

Phone

(203) 262-8430

Fax

(203) 262-8441

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 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

Specialty

Neurology

Education

Icahn School of Medicine at Mount Sinai, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kitaj Headache Center LLC

  • Neurology Physician
  • Yorktown Heights, NY
  • NPI 1790876324

  CT

  Medicare reassignment NPD Authorized official
• Miodrag Velickovic, M.D. P.C.

  • Neurology Physician
  • Yorktown Heights, NY
  • NPI 1750554705
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1881609451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROTON POINT AVE",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203025",
            "telephone_number": "203-262-8430",
            "fax_number": "203-262-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 QUAKER FARMS RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882732",
            "telephone_number": "203-262-8430",
            "fax_number": "203-262-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAJ",
        "first_name": "MADELEINE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "036240",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "205773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liann H Kimball, OD
• William E Kimball, OD
• Kimberly Francis, LLC
• Stephen R. Kinsella, LCSW
• Sheri Kipperman, A.P.R.N.
• Eric Joseph Koestner, MS.ED., BCBA
• Jack Kolvig, PT, DPT
• Allison Koshes, MS, OTR/L
• Amulya Kotha, DMD
• Lisa Jill Krauss, MA,LPC,NCC,CMC

• Neurology Physician in Southbury, CT
• Providers in Southbury, CT by specialty
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.