Organization Active NPI

Mattern & Associates, MD's, PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Dover, DE
National Provider Identifier
1073532990
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1989020815 Issued in DE
Legal business name
MATTERN & ASSOCIATES, MD'S, PA
Practice address
724 S New St
Dover, DE 19904-3540
Phone
(302) 734-3416
Fax
(302) 734-4960
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Jane Mattern
Title
Office Administrator
Phone
(302) 734-3416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 1989020815 DE Primary

Addresses

Primary practice location

724 S New St
Dover, DE 19904-3540

Mailing address

724 S New St
Dover, DE 19904-3540
Phone (302) 734-3416

Other identifiers 1

IdentifierTypeStateIssuer
0000153802MedicaidDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1073532990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S NEW ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043540",
            "telephone_number": "302-734-3416",
            "fax_number": "302-734-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S NEW ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043540",
            "telephone_number": "302-734-3416",
            "fax_number": "302-734-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTERN & ASSOCIATES, MD'S, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "MATTERN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "302-734-3416"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "DE",
            "license": "1989020815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000153802",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.