Active NPI
Ricardo E Madrid, MD
- Neurology Physician
- Staten Island, NY
National Provider Identifier
1891758744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 154775
- Practice address
- 1050 Forest Hill Rd
Nys Institute for Basic Research
Staten Island, NY 10314 - Phone
- (718) 494-5141
- Fax
- (718) 494-2258
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 154775 | NY | Primary |
Addresses
Primary practice location
1050 Forest Hill Rd
Nys Institute for Basic Research
Staten Island, NY 10314
Mailing address
1050 Forest Hill Rd
Nys Institute for Basic Research
Staten Island, NY 10314
Phone (718) 494-5141
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001798 | Other | GHI | |
| 7470752 | Other | AETNA | |
| 223713P | Other | HIP | |
| 5674169 | Other | CIGNA | |
| 01180318 | Medicaid | NY | |
| P3641912 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131203000095 | NY | Order and Referring Only - Neurology | 1759517436 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154775 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1891758744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 FOREST HILL RD",
"address_2": "NYS INSTITUTE FOR BASIC RESEARCH",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-494-5141",
"fax_number": "718-494-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 FOREST HILL RD",
"address_2": "NYS INSTITUTE FOR BASIC RESEARCH",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-494-5141",
"fax_number": "718-494-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID",
"first_name": "RICARDO",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "154775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "3001798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7470752",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "223713P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5674169",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01180318",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3641912",
"state": null
}
],
"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 May 2, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.