KUMAR MADOM MD – NPI #1174612964
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

KUMAR MADOM is a physician located in PORT JEFFERSON STATION, NY. NPPES has assigned the NPI number 1174612964 to KUMAR MADOM on October 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KUMAR MADOM below.

NPI Profile for
KUMAR MADOM

NPI Number
1174612964
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KUMAR MADOM
Credentials
MD
Primary location
5225 NESCONSET HWY
SUITE 35
PORT JEFFERSON STATION, NY 11776
Phone: (631) 331-3232 Fax: (631) 928-4910
Mailing address
PO BOX 395
MT SINAI, NY 11766
Phone: (631) 331-3232 Fax: (631) 928-4910
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NY 115212

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.