Individual provider Active NPI

Charles James Matuszak, M.D.

  • Specialist
  • Lake Worth, FL
National Provider Identifier
1073618864
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME31583 Issued in FL
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

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
066204600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000856 FL Practitioner - Orthopedic Surgery 7113977737 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC Specialist CurrentSince Jan 13, 2020 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Jan 13, 2020 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.

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

Verify at the official NPI Registry.