EMILY JEAN DE MADO (PA-C) – Physician Assistant, NPI 1104131598

EMILY JEAN DE MADO (PA-C) is a healthcare provider. based in Hackensack, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00239400 (NJ). The NPI Number for EMILY JEAN DE MADO (PA-C) is 1104131598

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
EMILY JEAN DE MADO (PA-C)
NPI
1104131598
Phone
(201) 342-2550
Address
20 PROSPECT AVE STE 907
Enumeration Date
10 August 2010
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2013422550
Graduation Year
2010 (16 years ago)
PAC ID
5597952994
Group Practice PAC ID
8123013802
Professional Enrollment ID
I20101210000831
Address ID
NJ076451811MO32XXXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for EMILY JEAN DE MADO (PA-C)

  • 20 PROSPECT AVE STE 907

    HACKENSACK, NJ 076011989

    Phone: (201) 342-2550

    Type: Mailing

  • 680 KINDERKAMACK RD

    ORADELL, NJ 076491600

    Phone: (201) 342-2550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101210000831IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10376$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6666$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1818$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123013802View full group profile
NameSpecialtyState
N E U R O L O G YNY
Physician AssistantNJ
Physician AssistantNJ
Physician AssistantNJ
Nurse PractitionerNJ
Physician AssistantNJ
Physician AssistantNJ
N E U R O S U R G E R YNJ
Neurology, Neurology, NeuropsychiatryNJ
-NJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for EMILY JEAN DE MADO (PA-C)?
EMILY JEAN DE MADO (PA-C) — NPI 1104131598 — is the standard way to identify this listing.
Is EMILY JEAN DE MADO (PA-C) listed as active for patients and plans?
The listing shows EMILY JEAN DE MADO (PA-C) as active in the NPI system.
What taxonomy line describes EMILY JEAN DE MADO (PA-C)?
For research purposes, treat EMILY JEAN DE MADO (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for EMILY JEAN DE MADO (PA-C)?
EMILY JEAN DE MADO (PA-C)'s geographic hint is Hackensack, New Jersey in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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