JOHN MADU
NPI 1619759313
Student in an Organized Health Care Education/Training Program in Middletown, CT

Active since October 17, 2023PECOS Enrolled
682 MAIN ST, MIDDLETOWN, CT 06457(860) 894-7683 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 3, 2024, Oct 17, 2023 (2 updates tracked since 2023).

About John Madu NPPES

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

JOHN MADU (NPI 1619759313) is an individual student in an organized health care education/training program in Middletown, Connecticut and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619759313
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN MADU
Location Address682 MAIN STMiddletown, CT 06457
Mailing Address3500 Gaston AveDallas, TX 75246-2088 · (214) 820-3795 · Fax (214) 733-1414
Sole ProprietorNo
Enumeration DateOctober 17, 2023
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1619759313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedPharmacistTaxonomy 183500000X · License PCT.0014532 (CT)
682 MAIN ST, Middletown, CT 06457

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Madu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
682 MAIN ST
MIDDLETOWN, CT 06457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619759313, enumerated as an "individual" on October 17, 2023.

The provider is located at 682 MAIN ST MIDDLETOWN, CT 06457 and the phone number is (860) 894-7683.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.