DR. KUMAR MADOM (NPI# 1174612964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174612964 |
| Entity Type | Individual |
| Full Name | DR. KUMAR MADOM |
| Credential | MD |
| Practice Address |
5225 Nesconset Hwy Suite 35 Port Jefferson Station NY 11776 |
| Mailing Address |
Po Box 395 Mt Sinai NY 11766 |
| Practice Telephone | 6313313232 |
| Practice Fax Number | 6319284910 |
| Mailing Telephone | 6313313232 |
| Mailing Fax Number | 6319284910 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 115212 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5225 NESCONSET HWY SUITE 35 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354779 | Helen Catherine Martinetti | Speech-Language Pathologist | 5225 Nesconset Hwy, Suite 10, Port Jefferson Station, NY 11776-2053 | 2005-08-23 |
| 1932766649 | Colleen Michelle Menard | Specialist | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2019-05-29 |
| 1700340973 | Sensory Solutions of Long Island, Inc | Psychologist | 5225 Nesconset Hwy, Buidling# 3, Suite 11&12, Port Jefferson Station, NY 11776-2054 | 2019-01-22 |
| 1497296941 | The Way of Acupuncture P.C. | Acupuncturist | 5225 Nesconset Hwy, Bldg 1, Ste 1, Port Jefferson Station, NY 11776-2053 | 2017-03-16 |
| 1194186528 | Nicole Ness | Behavioral Analyst | 5225 Nesconset Hwy, Suite 30, Port Jefferson Station, NY 11776-2053 | 2016-03-12 |
| 1386001824 | Lindsay Block | Speech-Language Pathologist | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2016-01-27 |
| 1366816712 | Jeanine Clausen | Occupational Therapist | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2015-11-23 |
| 1225401532 | Leslie Cortez | Case Manager/Care Coordinator | 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | 2015-11-09 |
| 1760850465 | Heather Marie Fischetti | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jefferson Station, NY 11776-2053 | 2015-09-11 |
| 1730557000 | Marygrace Finora | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jefferson Station, NY 11776-2053 | 2015-09-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154338671 | Gerald David Hartman | Pediatrics | 8 Roosevelt Ave, Port Jefferson Station, NY 11776-3337 | 2006-08-01 |
| 1689640690 | Damian Forletti | Pediatrics | 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1244 | 2006-02-28 |
| 1780654178 | Martin P Kaplan | Pediatrics | 12 Medical Dr, Port Jefferson Station, NY 11776-1588 | 2006-01-26 |
| 1770876641 | Thushanthi Shanila Perera | Pediatrics | 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1244 | 2011-05-25 |
| 1891973426 | Kerry Brigid Moore | Pediatrics | 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1220 | 2008-02-06 |
| 1629258033 | Kids First Pediatrics, PC | Pediatrics | 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1220 | 2007-11-14 |
| 1609994722 | Port Jefferson Pediatrics | Pediatrics | 12 Medical Dr, Port Jefferson Station, NY 11776-1588 | 2007-03-27 |
| 1902970577 | Adelaide Lu Masakayan | Pediatrics | 112 Terryville Rd, Port Jefferson Station, NY 11776-1329 | 2006-11-17 |
| 1710955224 | Magdalena M Oleszak | Pediatrics | 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1220 | 2006-03-09 |
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| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
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| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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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.