Active NPI
Madison Kate Medwig
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1891606216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 036846-01
- Practice address
- 3030 Godwin Ter
Bronx, NY 10463-5346 - Phone
- (718) 796-9645
- NPI assigned
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 036846-01 | NY | Primary |
Addresses
Primary practice location
3030 Godwin Ter
Bronx, NY 10463-5346
Mailing address
94 Homestead Ave
Amityville, NY 11701-3105
Phone (516) 413-6085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1891606216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 HOMESTEAD AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117013105",
"telephone_number": "516-413-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 GODWIN TER",
"city": "BRONX",
"state": "NY",
"postal_code": "104635346",
"telephone_number": "718-796-9645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDWIG",
"first_name": "MADISON",
"middle_name": "KATE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "036846-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.