Daniel Alexander Maddock (NPI# 1073077939, PAC ID# 7416280615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073077939 |
| PAC ID by PECOS | 7416280615 |
| Professional Enrollment ID | I20190603001591 |
| Full Name | Daniel Alexander Maddock |
| Organization Legal Name | INFECTIOUS DISEASE SPECIALISTS LLC |
| Address |
189 Eagle Rock Ave Roseland NJ 07068-1347 |
| Phone Number | 9732263359 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547279036 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310076 | SAINT BARNABAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 189 Eagle Rock Ave, Roseland, NJ 07068-1347 | 9732263359 | INFECTIOUS DISEASE SPECIALISTS LLC |
| Organization Legal Name | INFECTIOUS DISEASE SPECIALISTS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Marshall Smith | Internal Medicine | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Kathy Chao | Physician Assistant | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Enrique Miguel Unson | Infectious Disease | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Julie Egan | Nurse Practitioner | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Sonal N Thakker | Nurse Practitioner | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Willa Hope | Nurse Practitioner | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Street Address |
189 EAGLE ROCK AVE |
| City | ROSELAND |
| State | NJ |
| Zip | 07068-1347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Marshall Smith | Internal Medicine | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Kathy Chao | Physician Assistant | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Enrique Miguel Unson | Infectious Disease | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Julie Egan | Nurse Practitioner | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Sonal N Thakker | Nurse Practitioner | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Willa Hope | Nurse Practitioner | Infectious Disease Specialists LLC | 189 Eagle Rock Ave, Roseland, NJ 07068-1347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane B Misner | Registered Dietitian Or Nutrition Professional | 101 Eisenhower Pkwy, Suite 300, Roseland, NJ 07068-1054 | |
| Kelly A Kearns | Psychologist, Clinical | 101 Eisenhower Pkwy, 300 Regus, Roseland, NJ 07068-1054 | |
| Anthony Origlieri | Ophthalmology | 180 Harrison Ave, Roseland, NJ 07068-1239 | |
| Patricia M Jamison | Chiropractic | 188 Eagle Rock Ave, Roseland, NJ 07068-1335 | |
| Sami M Mamoun | Plastic and Reconstructive Surgery | 188 Eagle Rock Ave, Suite 2a, Roseland, NJ 07068-1335 | |
| Edward Fischer Jr. | Chiropractic | 161 Eagle Rock Ave, Roseland, NJ 07068-1354 | |
| Michele Mcglynn | Qualified Audiologist | Speech and Hearing Associates LLC | 556 Eagle Rock Ave, Roseland, NJ 07068-1503 |
| Jennifer Livelli | Qualified Audiologist | Speech and Hearing Associates LLC | 556 Eagle Rock Ave, Roseland, NJ 07068-1503 |
| Leena Patel | Qualified Audiologist | Speech and Hearing Associates LLC | 556 Eagle Rock Ave, Roseland, NJ 07068-1503 |
| Susan Woods | Qualified Audiologist | Speech and Hearing Associates LLC | 556 Eagle Rock Ave, Roseland, NJ 07068-1503 |
| Find all physicians in zip 07068 | |||
| City | ROSELAND |
| Zip Code | 07068 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROSELAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Daniel Alexander Maddock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.