DR. ROGER SCOTT MADRIS M.D. NPI 1275680415

NPI Information

  • NPI: 1275680415
  • Provider Name: DR. ROGER SCOTT MADRIS, M.D.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14 RYE RIDGE PLZ
    SUITE 151
    RYE BROOK, NY
    ZIP 10573
  • Phone: (914) 253-6504

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NPI Details

DR. Roger Scott Madris, M.D. is a geriatric medicine internal medicine in Rye Brook, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Roger Scott Madris, M.D. NPI is 1275680415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 RYE RIDGE PLZ
SUITE 151
RYE BROOK, NY
ZIP 10573-826
Phone: (914) 253-6504
Fax: (914) 253-6507

The NPI 1275680415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine040132CONNECTICUTNo
2207RG0300XInternal MedicineGeriatric Medicine145912NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A99802MEDICARE UPINNEW YORK
210D751MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
33115137MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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