Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Michaela Maddox, PA

Individual provider Medical Physician Assistant · NPI 1174710859

MS. Michaela Maddox, PA is a Medical Physician Assistant in Flushing, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 012046 (NY)

Record details

NPI number1174710859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2007
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022

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