Individual provider Active NPI

Anthony Matteo, MD

  • Gynecology Physician
  • Horsham, PA
National Provider Identifier
1063636694
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD0395890 Issued in PA
Practice address
303 Horsham Rd
Suite 1B
Horsham, PA 19044-2029
Phone
(215) 682-7620
Fax
(215) 682-7622
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD0395890 PA Primary

Addresses

Primary practice location

303 Horsham Rd
Suite 1B
Horsham, PA 19044-2029

Mailing address

303 Horsham Rd
Suite 1B
Horsham, PA 19044-2029
Phone (215) 682-7620

Other identifiers 2

IdentifierTypeStateIssuer
1174705OtherPACIGNA
71693401OtherPAUNITED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000682 PA Practitioner - Obstetrics/Gynecology 3678697604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

721 Dresher Rd
Suite 2400
Horsham, PA 19044-2218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0395890PAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Ranucci MD,LLC Gynecology Current Accepting new patients
Anthony Matteo MD, LLP Gynecology CurrentSince Jun 4, 1986 Accepting new patients

Locations

303 Horsham Rd
Ste 1B
Horsham, PA 19044
Phone (215) 682-7620

721 Dresher Rd
Ste 2400
Horsham, PA 19044
Phone (215) 346-2213

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063636694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HORSHAM RD",
            "address_2": "SUITE 1B",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442029",
            "telephone_number": "215-682-7620",
            "fax_number": "215-682-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HORSHAM RD",
            "address_2": "SUITE 1B",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442029",
            "telephone_number": "215-682-7620",
            "fax_number": "215-682-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEO",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD0395890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1174705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "71693401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

Verify at the official NPI Registry.