THERESA MADDEN (NPI# 1366512535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366512535 |
| Entity Type | Individual |
| Full Name | THERESA MADDEN |
| Credential | PA |
| Practice Address |
1 Diamond Hill Rd Summit Medical Group Berkeley Heights NJ 07922-2104 |
| Practice Telephone | 9082734300 |
| Practice Fax Number | 9086737108 |
| Mailing Telephone | 9082734300 |
| Mailing Fax Number | 9086737108 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00108400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588074983 | Theresa Delaat Madden | Physical Therapist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2014-05-07 |
| 1346327905 | Theresa E Madden | Dentist | 611 Sw Campus Dr, Room 19, Portland, OR 97239-3001 | 2006-11-01 |
| Street Address |
1 DIAMOND HILL RD SUMMIT MEDICAL GROUP |
| City | BERKELEY HEIGHTS |
| State | NJ |
| Zip Code | 07922-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336004 | Deborah Cheung | Internal Medicine | 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 | 2005-06-17 |
| 1841898160 | Kelly Anne Gugger | Speech-Language Pathologist | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-10-09 |
| 1811501976 | Thomas Gerald Corbo | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-09-04 |
| 1386288678 | Nadia Z Jamil | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-10-30 |
| 1225687494 | Loren Leigh Ball | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-09-10 |
| 1790347151 | Samantha Joy Bernstein | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-07-05 |
| 1356903348 | Summit Medical Group Pa | Clinic/Center | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-07-01 |
| 1811558026 | Robert Antunes Vagueiro | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-06-27 |
| 1194287490 | Stephanie Pierre-pierre | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-04-04 |
| 1497215313 | Sakirat Oladiran | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962920579 | Dylan Nessenson | Specialist/Technologist | 44 Branko Road, Berkeley Heights, NJ 07922 | 2017-09-04 |
| 1750807574 | Elite Care Physical Therapy PC | Physical Therapist | 10 Summit Ave Ste 6, Berkeley Heights, NJ 07922 | 2017-08-15 |
| 1124424619 | All Dental Arts PC | Dentist | 559 Plainfield Avenue, Berkeley Heights, NJ 07922 | 2014-11-10 |
| 1972871598 | Shivaji Gajanan Phadke | Pharmacist | 40 Holly Glen Lane North, Berkeley Heights, NJ 07922 | 2011-12-09 |
| 1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
| 1194983411 | Henry Peter Schwerner | Pediatrics | 115 Wentworth Drive, Berkeley Heights, NJ 07922 | 2008-05-23 |
| 1215158076 | Mark Durante | Dentist | 261 Springfield Avenue, Suite 203, Berkeley Heights, NJ 07922 | 2007-05-01 |
| 1306989785 | Gayle M Coakley | Marriage & Family Therapist | 230 Sherman Ave Ste 10, Berkeley Heights, NJ 07922 | 2007-02-15 |
| 1275670507 | Patrick Rafferty Smith | Chiropractor | 134 Snyder Avenue, Berkeley Heights, NJ 07922 | 2007-01-30 |
| 1447315015 | Barbara Schoenberg | Social Worker | 310 Springfield Ave, Suite 165, Berkeley Heights, NJ 07922 | 2006-12-26 |
| Find all providers in zip 07922 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399427 | Victoria Regina Clark | Physician Assistant | 113 Sutton Dr, Berkeley Heights, NJ 07922-2510 | 2017-07-24 |
| 1811501976 | Thomas Gerald Corbo | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-09-04 |
| 1811558026 | Robert Antunes Vagueiro | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-06-27 |
| 1194287490 | Stephanie Pierre-pierre | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-04-04 |
| 1871071720 | Taylor Danielle Bisceglia | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2018-08-02 |
| 1295227064 | Shelby Parrish | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2018-06-06 |
| 1720570591 | Megan Aurore Mcintyre | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 | 2018-06-06 |
| 1912413113 | Jennifer Rulka | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2017-12-26 |
| 1518499078 | Louise Bernardon | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2017-04-03 |
| 1184161903 | Meagan Lynch | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2017-01-31 |
| Find all providers in BERKELEY HEIGHTS | ||||
| City | BERKELEY HEIGHTS |
| Zip Code | 07922 |
Please comment or provide details below to improve the information on THERESA MADDEN.
| 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.