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MADISON SU
NPI 1285512111
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since August 27, 2025
716 STEVENS AVE, PORTLAND, ME 04103(207) 221-4516 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Su NPPES

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

MADISON SU (NPI 1285512111) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1285512111
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameMADISON SU
Location Address716 STEVENS AVEPortland, ME 04103-2693
Mailing Address4508 Springfield AvePhiladelphia, PA 19143-3709 · (339) 223-4925
Phone(207) 221-4516
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1285512111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
716 STEVENS AVE, Portland, ME 04103
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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.

PIPER NOELLA DESORCIE
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
KASSIDY ANN COLLINS
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4529
DR. ALBERT GALLEMIT ABENA D.D.S.
Dentist
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4687
ALIYAH ROSE MURPHY
Physician Assistant
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
JULIA CARTFORD
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
JESSICA KELLY
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
STEPHANIE MONIZ
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
CYNTHIA CRYSTAL TANG
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 602-2329

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 Madison Su's NPI number?

The NPI number for Madison Su is 1285512111. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Madison Su located?

Madison Su practices at 716 Stevens Ave, Portland, ME 04103. The listed phone number is (207) 221-4516.

What is Madison Su's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Madison Su was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.