National Provider Identifier Database

KUMAR MADOM, MD – NPI #1174612964
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

KUMAR MADOM, MD
5225 NESCONSET HWY
SUITE 35
PORT JEFFERSON STATION, NY11776
Phone: 631-331-3232
Fax: 631-928-4910
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for KUMAR MADOM

NPI Number 1174612964
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 115212
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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