Active NPI
Joseph Leonard Maddi, M.D.
- Cardiovascular Disease Physician
- Amherst, NY
National Provider Identifier
1992761266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 149577-1
- Practice address
- 4225 Maple Rd
Amherst, NY 14226-1039 - Phone
- (716) 834-0221
- Fax
- (716) 834-0222
- NPI assigned
- Apr 25, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 149577-1 | NY | Primary |
Addresses
Primary practice location
4225 Maple Rd
Amherst, NY 14226-1039
Mailing address
4225 Maple Rd
Amherst, NY 14226-1039
Phone (716) 834-0221
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01024840 | Medicaid | NY | |
| 2107103 | Other | NY | INDEPENDENT HEALTH |
| 000502386008 | Other | NY | BLUE CROSS BLUE SHIELD |
| 00010108705 | Other | NY | UNIVERA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080117000196 | NY | Practitioner - Internal Medicine | 3678557386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149577-1 | NY | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1992761266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 MAPLE RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261039",
"telephone_number": "716-834-0221",
"fax_number": "716-834-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 MAPLE RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261039",
"telephone_number": "716-834-0221",
"fax_number": "716-834-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDI",
"first_name": "JOSEPH",
"middle_name": "LEONARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "149577-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01024840",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "2107103",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000502386008",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010108705",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.