Borough of Madison

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

25MA03374400 Issued in NJ

Legal business name

BOROUGH OF MADISON

Practice address

28 Walnut St
Madison, NJ 07940-1638

Phone

(973) 593-3079

NPI assigned

Oct 24, 2007

Last updated

Nov 16, 2007By 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

John Theese, MS

Title

Health Officer

Phone

(973) 593-3072

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1972782167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WALNUT ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401638",
            "telephone_number": "973-593-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WALNUT ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401638",
            "telephone_number": "973-593-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "THEESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "973-593-3072",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NJ",
            "license": "25MA03374400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra M Black, PSY.D.
• Karla Boertzel, LPC
• Susan Eve Boisnier, NURSE PRAC APN C
• Borough of Madison (Madison Health Department)
• Borough of Madison (Madison Fire Department)
• Mohamed Ali Boukheir, DMD
• Malka Brezner, PHARMD
• Jill Sharon Broderick, MS, OTR, BCB
• Magdalena Brown, LPC
• Browne Physical Therapy, LLC

• State or Local Public Health Clinic/Center in Madison, NJ
• Providers in Madison, NJ by specialty
• State or Local Public Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.