Alfredo D Maduro Sr., RPAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

009800 Issued in NY

Practice address

4039 Junction Blvd
Corona, NY 11368-2121

Phone

(718) 397-8866

Fax

(718) 397-8869

NPI assigned

Sep 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment Care Compare group
• Dimitri N Kessaris MDPC

  • Urology Physician
  • Manhasset, NY
  • NPI 1154430148
  Medicare reassignment
• Advanced Urology Associates, LLC

  • Specialist
  • Jackson Heights, NY
  • NPI 1780772061
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1932395068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682121",
            "telephone_number": "718-397-8866",
            "fax_number": "718-397-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682121",
            "telephone_number": "718-397-8866",
            "fax_number": "718-397-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADURO",
        "first_name": "ALFREDO",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.G.R. Farmacia Latina Inc.
• M&M Medical PC
• Alexa Josephine Macleod, LMSW
• Ricardo Madiedo Sr., DC
• Madison York Assisted Living Community LLC
• Magdalena Goralczyk Endodontics PLLC
• Arkadiy Malakov
• Marilyn Maldonado, LMSW
• Melissa Malfer
• Manjit S Mallik, DDS

• Medical Physician Assistant in Corona, NY
• Providers in Corona, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.