Active NPI
Charles James Matuszak, M.D.
- Specialist
- Lake Worth, FL
National Provider Identifier
1073618864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME31583
- Practice address
- 3618 Lantana Rd
Ste 100
Lake Worth, FL 33462-2246 - Phone
- (561) 296-1188
- Fax
- (561) 969-2384
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME31583 | FL | Primary |
Addresses
Primary practice location
3618 Lantana Rd
Ste 100
Lake Worth, FL 33462-2246
Mailing address
3618 Lantana Road
Suite 100
Lake Worth, FL 33462
Phone (561) 296-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066204600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center of Palm Beach County, LLC | Specialist | Current | Accepting new patients |
| Orthopedic Center of Palm Beach County | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Past | Accepting new patients | |
| H Donald Lambe MD PA | Past | Accepting new patients |
Locations
10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324
4801 S Congress Ave
Palm Springs, FL 33461
Phone (407) 967-6500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sports and Orthopedic Center
- Specialist
- Atlantis, FL
- NPI 1114079738
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1891683801
-
- Durable Medical Equipment & Medical Supplies
- West Palm Beach, FL
- NPI 1346411519
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1073618864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3618 LANTANA ROAD",
"address_2": "SUITE 100",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33462",
"telephone_number": "561-296-1188",
"fax_number": "561-969-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3618 LANTANA RD",
"address_2": "STE 100",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334622246",
"telephone_number": "561-296-1188",
"fax_number": "561-969-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSZAK",
"first_name": "CHARLES",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME31583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066204600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.