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DR. JAMES MICHAEL MADDEN M.D.
NPI 1891788147
Allergy & Immunology in Manahawkin, NJ

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
400 E BAY AVE, MANAHAWKIN, NJ 08050(609) 978-7200(609) 978-9339 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Michael Madden M.d. NPPES

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

DR. JAMES MICHAEL MADDEN M.D. (NPI 1891788147) is an individual allergy & immunology provider in Manahawkin, New Jersey, licensed in New Jersey (MA58711) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1891788147
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. JAMES MICHAEL MADDENCredential: M.D.
Location Address400 E BAY AVEManahawkin, NJ 08050-3323
Mailing AddressPo Box 430Manahawkin, NJ 08050-0430 · (609) 978-7200 · Fax (609) 978-9339
Phone(609) 978-7200
Fax(609) 978-9339
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 7, 2008
✔ NPI 1891788147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NJ · MA58711
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
400 E BAY AVE, Manahawkin, NJ 08050
Open in Google Maps ↗

Other Identifiers 3

Medicaid6012604NJ
Medicare UPINF50622
Medicare ID-Type Unspecified730003

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. James Michael Madden M.d. 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 ID9638362288
PECOS Enrollment IDI20101015000480
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 7

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
3,685 services156 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
3,026 services80 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
2,308 services174 patients
Test for allergy using skin patch 95044
A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.
864 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
595 services281 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 patients

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Injection, immune globulin (bivigam), 500 mg J1556
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers22 claims2,020 services$45.56 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
7 suppliers11 claims2,253 services$0.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JAMES M. MADDEN, MD, PA
Allergy & Immunology
400 E BAY AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 978-7200

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 James Madden's NPI number?

The NPI number for James Madden is 1891788147. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is James Madden located?

James Madden practices at 400 E Bay Ave, Manahawkin, NJ 08050. The listed phone number is (609) 978-7200.

What is James Madden's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is James Madden enrolled in Medicare?

Yes. James Madden 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 James Madden affiliated with any hospitals?

According to CMS data, James Madden is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for James Madden was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.