MS. MICHAELA MADDOX P.A.
NPI 1174710859
Physician Assistant - Medical in Flushing, NY

Active since September 26, 2007
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Michaela Maddox P.a. NPPES

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

MS. MICHAELA MADDOX P.A. (NPI 1174710859) is an individual medical provider in Flushing, New York, licensed in New York (012046) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1174710859
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MICHAELA MADDOXCredential: P.A.
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address949 Old Britton RdNorth Bellmore, NY 11710-1349 · (718) 807-1442
Sole ProprietorNo
Enumeration DateSeptember 26, 2007
Last NPPES UpdateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
NPI 1174710859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 012046
5645 MAIN ST, Flushing, NY 11355

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.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 Michaela Maddox's NPI number?

The NPI number for Michaela Maddox is 1174710859. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Michaela Maddox located?

Michaela Maddox practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Michaela Maddox's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michaela Maddox was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.