Maddys Supports Brokerage LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

MADDYS SUPPORTS BROKERAGE LLC

Practice address

391 Park St Apt I
Hackensack, NJ 07601-4318

Phone

(201) 268-8070

NPI assigned

Jan 12, 2026

Last updated

Jan 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madeline BonillaNPI 1578437042

Title

Executive Director/Owner

Phone

(201) 268-8070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madeline Bonilla

  • Supports Brokerage Agency
  • Hackensack, NJ
  • NPI 1578437042
  NPD Authorized official

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1922966613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 PARK ST APT I",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014318",
            "telephone_number": "201-268-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 PARK ST APT I",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014318",
            "telephone_number": "201-268-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDYS SUPPORTS BROKERAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "201-268-8070"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Terry Mack, PSY.D.
• Danit Macklin, PT, DPT
• John Peter Maclaren, D.M.D.
• Angela Maconi, PA-C
• Jemour A Maddux, PSY.D., ABPP
• Gabriella Gadaleta Magarelli, RN, ACNP-BC, OCN
• Rex Magbanua Jr., APN
• Andrew Magdich, MD
• Aakriti Mahajan
• Stefani Maher, LPC

• Supports Brokerage Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Supports Brokerage Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.