MICHAEL T MADORNO (NPI# 1851314553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851314553 |
| Entity Type | Individual |
| Full Name | MICHAEL T MADORNO |
| Credential | DC |
| Practice Address |
9002 Lincoln Dr W Ste B Marlton NJ 08053-3204 |
| Practice Telephone | 8569853336 |
| Practice Fax Number | 8569855615 |
| Mailing Telephone | 8569853336 |
| Mailing Fax Number | 8569855615 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MC05871 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ STATE LICENSE | MC05871 | 01 |
| NJ | AMERIHELATH ID# | 2147939000 | 01 |
| NJ | HORIZON | 721558741 | 01 |
| NJ | AETNA | 3181995 | 01 |
| NJ | RAILRAOD MEDICARE | P00030803 | 01 |
| Street Address |
9002 LINCOLN DR W STE B |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508100546 | Madorno Chiropractic | Chiropractor | 9002 Lincoln Dr W Ste B, Marlton, NJ 08053-3204 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938157 | Whiplash Clinic PC | Chiropractor | 127 Church Rd Ste 200, Marlton, NJ 08053-9402 | 2017-08-21 |
| 1912202854 | Louis Anthony Galasso | Chiropractor | 75 Tenby Lane, Marlton, NJ 08053 | 2011-01-25 |
| 1265625206 | Richard William Phelps IIi | Chiropractor | 19 Provincetown Dr, Marlton, NJ 08053-4202 | 2007-08-23 |
| 1205041654 | Neal David Sundberg | Chiropractor | 111 Church Rd, Marlton, NJ 08053-9410 | 2007-05-11 |
| 1174667265 | Rosemary Calio | Chiropractor | 651 Route 73 N Ste 109, Marlton, NJ 08053-3445 | 2007-02-20 |
| 1811048523 | Angela L Jarvis | Chiropractor | 230 N Maple Ave Ste G2, Health Goals, Marlton, NJ 08053-9415 | 2007-01-16 |
| 1750449773 | Joshua P Sherlock | Chiropractor | 30 W Route 70, Marlton, NJ 08053-3010 | 2006-12-04 |
| 1104901479 | Steven Joseph Scafidi | Chiropractor | 951 Tuckerton Rd Ste A, Marlton, NJ 08053-2653 | 2006-10-26 |
| 1912005539 | Louis Edward Persichetti | Chiropractor | 106 Centre Blvd Ste B, Marlton, NJ 08053-4131 | 2006-09-20 |
| 1215967559 | Bill E. Stefanou | Chiropractor | 111 Church Road, Marlton, NJ 08053-9410 | 2006-07-03 |
| Find all providers in MARLTON | ||||
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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.