PAMELA J MADEJ (NPI# 1255325825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255325825 |
| Entity Type | Individual |
| Full Name | PAMELA J MADEJ |
| Credential | ANP, RN, MS |
| Practice Address |
116 Everett Rd Albany NY 12205-1427 |
| Practice Telephone | 5184630171 |
| Practice Fax Number | 5184630174 |
| Mailing Telephone | 5184630171 |
| Mailing Fax Number | 5184630174 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2011-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
F30236601 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F3023661 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BSNENY | 000497460001 | 01 |
| NY | MVP | 347727 | 01 |
| NY | RAIL ROAD MEDICARE | 500023660 | 01 |
| Street Address |
116 EVERETT RD |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326504234 | Kristin Franke Stalker | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205 | 2019-02-15 |
| 1689059032 | Sarah Thomas | Nurse Practitioner | 116 Everett Rd, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 | 2015-07-28 |
| 1558755983 | Kimberley Schuller | Anesthesiology | 116 Everett Rd, Albany, NY 12205-1427 | 2015-03-24 |
| 1225455439 | Geraldine Lehman | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2014-03-25 |
| 1386959716 | Shannon Lauren O'meara | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2010-08-10 |
| 1558524017 | Priti Vohra | Physical Medicine & Rehabilitation | 116 Everett Rd, Albany, NY 12205-1427 | 2008-07-05 |
| 1275624900 | Sand Creek Medical PC | Specialist | 116 Everett Rd, Albany, NY 12205-1427 | 2006-09-27 |
| 1215981261 | Medical Pain Management Services, Pllc | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2006-05-22 |
| 1598725673 | Martin Gerard Ferrillo | Physical Medicine & Rehabilitation | 116 Everett Rd, Albany, NY 12205-1427 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231324 | Veronica Carlevale Roddy | Nurse Practitioner | 23 Hackett Blvd # Mc208, Albany, NY 12208-3436 | 2019-02-19 |
| 1174002646 | Haeyoung Chong | Nurse Practitioner | 319 S Manning Blvd Ste 202, Albany, NY 12208-1743 | 2018-08-07 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1366874208 | Cheryl Gervin-clark | Nurse Practitioner | 2318 Pearce Ave, Albany, GA 31705-3312 | 2013-08-02 |
| 1689844839 | Tanya M Sommers | Nurse Practitioner | 33 W Dillenbeck Dr, Albany, NY 12203-3404 | 2008-03-04 |
| 1659553097 | Judy Stamper | Nurse Practitioner | 315 Sw 4th, Albany, OR 97321-3769 | 2007-11-28 |
| 1275658627 | Samara M Gabree | Nurse Practitioner | 100 Slingerland St, Albany, NY 12202-1229 | 2007-03-21 |
| 1992888036 | Children First Kidmed | Nurse Practitioner | 19115 Florida Blvd Ste A, Albany, LA 70711-3701 | 2006-10-23 |
| 1720172422 | Judy Kelly Shaw | Nurse Practitioner | 113 Holland Ave, Mc 111d, Vamc, Albany, NY 12208 | 2006-10-03 |
| 1841303500 | Mary Elizabeth Mcconihe | Nurse Practitioner | 113 Holland Ave., Samuel Stratton Va Medical Center, Albany, NY 12208 | 2006-08-16 |
| Find all providers in ALBANY | ||||
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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.