Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Anthony Maddaloni, PA-C

Individual provider Physician Assistant · NPI 1063102002

Michael Anthony Maddaloni, PA-C is a Physician Assistant in Denville, New Jersey. Qualified in 2023, 3 years ago. Practices with Emergency Associates of St Marys LLC, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25 Pocono Rd
Denville, NJ 07834-2954
Phone: (973) 625-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063102002
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2023
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address25 Pocono Rd, Denville, NJ 07834-2954

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Emergency Associates Of St Marys Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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