Mr. Daniel A Maddock, PA-C
Physician Assistant, Medical in Roseland, New Jersey
1073077939- Practice location
- 189 Eagle Rock Ave, Roseland, NJ 07068-1347
- Phone
- 973-226-3359
- Fax
- —
- Last updated
- May 10, 2022
Daniel Alexander Maddock is a Physician Assistant, Medical based in Roseland, NJ. Daniel Alexander Maddock practices in Roseland, NJ and has the professional credentials of PA-C. The NPI Number for Daniel Alexander Maddock is 1073077939. The current practice location address for Daniel Alexander Maddock is 189 Eagle Rock Ave, Roseland, NJ 07068-1347 and can be reached out via phone at 973-226-3359.
Provider Profile Details
- NPI Number
- 1073077939
- Provider Name
- Daniel Alexander Maddock
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 189 Eagle Rock Ave, Roseland, NJ 07068-1347
- Phone Number
- 973-226-3359
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 24, 2019
- Last Update Date
- May 10, 2022
- Certification Date
- May 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Eagle Rock Ave
Roseland, NJ 07068-1347 - City
- Roseland
- State
- New Jersey
- Zip
- 07068-1347
- Phone Number
- 973-226-3359
Provider Business Mailing Address Details
- Address
- 8 Simmons RD
Barrington, RI 02806-2508 - City
- Barrington
- State
- RI
- Zip
- 02806-2508
- Phone Number
- 401-330-8932
License Information
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Roseland, NJ
View all Physician Assistant, Medical providers in Roseland →Frequently Asked Questions
What is the NPI number of Mr. Daniel A Maddock, PA-C?
The NPI number of Mr. Daniel A Maddock, PA-C is 1073077939. It was assigned on January 24, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Daniel A Maddock, PA-C?
Mr. Daniel A Maddock, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Mr. Daniel A Maddock, PA-C practice?
The practice location is 189 Eagle Rock Ave, Roseland, NJ 07068-1347. The office can be reached at 973-226-3359 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073077939 directly on the NPPES registry website.