Active NPIIndividual provider

Madison S Maines, PA-C

Physician Assistant in Medford, New Jersey

NPI Number1699494716
Practice location
131 Route 70 Ste 100, Medford, NJ 08055-9501
Fax
—
Last updated
August 23, 2022

Madison Suzanna Maines is a Physician Assistant based in Medford, NJ. Madison Suzanna Maines practices in Medford, NJ and has the professional credentials of PA-C. The NPI Number for Madison Suzanna Maines is 1699494716 and holds a License No. 25MP00726400 (NJ). The current practice location address for Madison Suzanna Maines is 131 Route 70 Ste 100, Medford, NJ 08055-9501 and can be reached out via phone at 609-267-9400.

Provider Profile Details

NPI Number
1699494716
Provider Name
Madison Suzanna Maines
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
131 Route 70 Ste 100, Medford, NJ 08055-9501
Phone Number
609-267-9400
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2022
Last Update Date
August 23, 2022
Certification Date
August 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Route 70 Ste 100
Medford, NJ 08055-9501
Zip
08055-9501
Phone Number
609-267-9400
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
131 Route 70 Ste 100
Medford, NJ 08055-9501
City
Medford
State
NJ
Zip
08055-9501
Phone Number
609-267-9400

License Information

License Number
25MP00726400
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Madison S Maines, PA-C?

The NPI number of Madison S Maines, PA-C is 1699494716. It was assigned on August 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Madison S Maines, PA-C?

Madison S Maines, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00726400.

Where does Madison S Maines, PA-C practice?

The practice location is 131 Route 70 Ste 100, Medford, NJ 08055-9501. The office can be reached at 609-267-9400 (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 1699494716 directly on the NPPES registry website.

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