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DR. JOHN D. MADIGAN D.O.
NPI 1427239854
Internal Medicine - Nephrology in Millburn, NJ

Active since November 14, 2007PECOS EnrolledAccepts Medicare Assignment
225 MILLBURN AVE, SUITE 209, MILLBURN, NJ 07041(973) 926-7000 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John D. Madigan D.o. NPPES

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

DR. JOHN D. MADIGAN D.O. (NPI 1427239854) is an individual nephrology provider in Millburn, New Jersey, licensed in New Jersey (25MBO8268200) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1427239854
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOHN D. MADIGANCredential: D.O.
Location Address225 MILLBURN AVE, SUITE 209Millburn, NJ 07041-1737
Mailing Address225 Millburn Ave, Suite 209Millburn, NJ 07041-1737 · (973) 926-7000
Phone(973) 926-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 14, 2007
Last NPPES UpdateMarch 1, 2016
✔ NPI 1427239854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MBO8268200
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
225 MILLBURN AVE, Millburn, NJ 07041
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John D. Madigan D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385796978
PECOS Enrollment IDI20090713000210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
465 services111 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
180 services43 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
169 services29 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
131 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
121 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services55 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Carepoint Health-Christ Hospital

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310016
Location176 Palisade AveJersey City, NJ 07306 · Hudson County

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STUART BASKIN, M.D., P.A.
Internal Medicine (Nephrology)
225 MILLBURN AVE, SUITE 304
MILLBURN, NJ 07041
Essex County (973) 218-1800
DR. YETUNDE ADEOLA MD
Psychiatry & Neurology (Psychiatry)
225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041
Essex County (973) 494-4614
WENDY BOND LCSW
Social Worker (Clinical)
225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041
Essex County (973) 564-9556
M. KEVIN O'CONNOR MD LLC
Clinic/Center (Adult Mental Health)
225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041
Essex County (973) 912-0200
GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC
Family Medicine (Obesity Medicine)
225 MILLBURN AVE, SUITE 204
MILLBURN, NJ 07041
Essex County (973) 218-1990
AMY BLOCK LCSW
Social Worker (Clinical)
225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041
Essex County (201) 306-3758
PASE HEALTHCARE, PC
Internal Medicine
225 MILLBURN AVE, SUITE 303
MILLBURN, NJ 07041
Essex County (973) 912-7273
DR. MUBASHIR SHABIL BILLAH M.D.
Urology
225 MILLBURN AVE
MILLBURN, NJ 07041
Essex County (973) 218-9400

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 John Madigan's NPI number?

The NPI number for John Madigan is 1427239854. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is John Madigan located?

John Madigan practices at 225 Millburn Ave Suite 209, Millburn, NJ 07041. The listed phone number is (973) 926-7000.

What is John Madigan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is John Madigan enrolled in Medicare?

Yes. John Madigan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Madigan affiliated with any hospitals?

According to CMS data, John Madigan is affiliated with Newark Beth Israel Medical Center, Palisades Medical Center, Carepoint Health-Christ Hospital, Jersey City Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for John Madigan was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.