MARK MADIS,M.D. , LLC (NPI# 1124235452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124235452 |
| Entity Type | Organization |
| Organization Name | MARK MADIS,M.D. , LLC |
| Practice Address |
212 Route 94 Suite 1a Vernon NJ 07462-3328 |
| Mailing Address |
Po Box 1010 Vernon NJ 07462-1010 |
| Practice Telephone | 9738645033 |
| Mailing Telephone | 9738645033 |
| Mailing Fax Number | 9732091895 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK STEVEN MADIS (OWNER) |
| Authorized Official Telephone | 9738645033 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
25MA04014100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
212 ROUTE 94 SUITE 1A |
| City | VERNON |
| State | NJ |
| Zip Code | 07462-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823364 | Eric Samuel Hansen | Internal Medicine | 212 Route 94, Suite 1-d, Vernon, NJ 07462 | 2005-12-29 |
| 1821362807 | Newton Emo LLC | Clinic/Center | 212 Route 94, Suite 1a, Vernon, NJ 07462-3328 | 2012-03-08 |
| 1073892121 | Sarina Lavooy | Physical Therapist | 212 Route 94, Ste 2f, Vernon, NJ 07462-3328 | 2011-08-08 |
| 1003004037 | Northwest New Jersey Urgent Care Alliance PC | Clinic/Center | 212 Route 94, Suite 1a, Vernon, NJ 07462-3328 | 2007-10-03 |
| 1629108303 | Vernon Urgent Care Center | Clinic/Center | 212 Route 94, Suite 1a, Vernon, NJ 07462 | 2007-03-06 |
| 1578651998 | Robert A Forte | Emergency Medicine | 212 Route 94, Vernon, NJ 07462 | 2006-10-11 |
| 1033146923 | Morris Area Rehabilitation Association, Inc | Clinic/Center | 212 Route 94, Unit 2g & 2h, Vernon, NJ 07462-3324 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699786 | Deividas Jeskevicius | Occupational Therapist | 212 Nj-94 Unit 2g & 2h, Vernon, NJ 07462 | 2019-09-26 |
| 1053788224 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 530 County Route 515, Unit 1, Vernon, NJ 07462 | 2015-08-24 |
| 1851788350 | Alpha & Omega Dental of Nj, LLP | Dentist | 6 Church St., Vernon, NJ 07462 | 2015-04-22 |
| 1871924050 | Eugene Santos | Specialist/Technologist | 42 Birch Drive, Vernon, NJ 07462 | 2013-12-12 |
| 1336498765 | Asha Reddy Thadisina | Pharmacist | 525 County Road 515, Vernon, NJ 07462 | 2012-08-30 |
| 1013236512 | Valerie Lee Thayer | Pharmacist | 525 State Route 515, Vernon, NJ 07462 | 2010-05-24 |
| 1003048844 | Joshua Seungju Chung | Dentist | 6 Church Street, Vernon, NJ 07462 | 2009-08-12 |
| 1861676454 | Lois Ann Reinhardt | Counselor | 529 Route 515 /guthrie Corner, Suite 202, Vernon, NJ 07462 | 2007-12-19 |
| 1598971442 | Laura Ann Covucci | Dentist | 248 Route 94 North, Vernon, NJ 07462 | 2007-05-15 |
| 1326163288 | Donald John Mattucci Jr. | Dentist | 249 Route 94, Vernon, NJ 07462 | 2007-03-20 |
| Find all providers in zip 07462 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892318 | Amy Elizabeth Ziminski | Obstetrics & Gynecology | 376 Lafayette Rd Ste 201, Sparta, NJ 07871-3560 | 2020-02-10 |
| 1104341023 | Alexander Gudz LLC | Obstetrics & Gynecology | 515 N Wood Ave Ste 302, Linden, NJ 07036-4173 | 2017-08-11 |
| 1720467723 | Barbara Plucknett LLC | Obstetrics & Gynecology | 30 Two Bridges Rd, Fairfield, NJ 07004-1593 | 2015-05-22 |
| 1245583897 | Albert C Parker | Obstetrics & Gynecology | 512a Old Nassau Rd, Monroe Twp, NJ 08831-1835 | 2012-10-19 |
| 1609178573 | Family Health Providers, LLC | Obstetrics & Gynecology | 450 Martin Luther King Jr Dr, Jersey City, NJ 07304-4218 | 2010-11-29 |
| 1265740732 | Maryann Huhn-werner, Md, LLC | Obstetrics & Gynecology | 854 Mountain Ave, Suite 1, Mountainside, NJ 07092-2716 | 2010-09-18 |
| 1992013403 | J. Evans Murage, Md, PC | Obstetrics & Gynecology | 1301 Whitehorse Mercerville Rd Ste 201, Hamilton, NJ 08619-3826 | 2010-09-17 |
| 1487965711 | George M Tai | Obstetrics & Gynecology | 2421 Cedarbridge Rd, Northfield, NJ 08225-1446 | 2010-07-01 |
| 1336471192 | Women for Women Medical Associates | Obstetrics & Gynecology | 102 I. Centre Blvd., Marlton, NJ 08053 | 2010-02-04 |
| 1306073036 | Urogynecology Associates of Central Jersey P.C. | Obstetrics & Gynecology | 19 Continental Ct, South River, NJ 08882-2586 | 2009-06-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.