DR. KUMAR MADOM MD
NPI 1174612964
Pediatrics in Port Jefferson Station, NY

Active since October 12, 2006
5225 NESCONSET HWY, SUITE 35, PORT JEFFERSON STATION, NY 11776(631) 331-3232(631) 928-4910 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kumar Madom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KUMAR MADOM MD (NPI 1174612964) is an individual pediatrics provider in Port Jefferson Station, New York, licensed in New York (115212) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174612964
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KUMAR MADOMCredential: MD
Location Address5225 NESCONSET HWY, SUITE 35Port Jefferson Station, NY 11776
Mailing AddressPo Box 395Mt Sinai, NY 11766 · (631) 331-3232 · Fax (631) 928-4910
Fax(631) 928-4910
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174612964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 115212
Definition

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.

5225 NESCONSET HWY, Port Jefferson Station, NY 11776

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFFERSON STATION, NY 11776
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFF STA, NY 11776
Occupational Therapist
5225 NESCONSET HWY, SUITE 41-42
PORT JEFFERSON STATION, NY 11776
Physical Therapist
5225 NESCONSET HWY, BUILDING 6 SUITE 30
PORT JEFFERSON STATION, NY 11776
Occupational Therapist
5225 NESCONSET HWY, 30
PORT JEFFERSON STATION, NY 11776
Occupational Therapist
5225 NESCONSET HWY, SUITE 30 NEW YORK THERAPY PLACEMENT SERVICES INC
PORT JEFFERSON, NY 11776
Specialist
5225 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Psychologist (Clinical)
5225 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kumar Madom's NPI number?

The NPI number for Kumar Madom is 1174612964. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kumar Madom located?

Kumar Madom practices at 5225 Nesconset Hwy Suite 35, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-3232.

What is Kumar Madom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kumar Madom was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.