Matthew a. Bennett MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

250570 Issued in NY

Legal business name

MATTHEW A. BENNETT MD PLLC

Practice address

624 River Rd
Suite #1
North Tonawanda, NY 14120-6563

Phone

(716) 332-2300

Fax

(716) 332-2280

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Anthony Bennett, M.D.

Title

Owner

Phone

(716) 332-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1114168408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 RIVER RD",
            "address_2": "SUITE #1",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206563",
            "telephone_number": "716-332-2300",
            "fax_number": "716-332-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 RIVER RD",
            "address_2": "SUITE #1",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206563",
            "telephone_number": "716-332-2300",
            "fax_number": "716-332-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A. BENNETT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-332-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "250570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel L Marabella Jr., PT
• Hannah Maries, M.S.ED
• Julie Elizabeth Matecki, MA CCC SLP/L
• Linda Maria Mathews, OTR/L
• Sarahann Marie Matteson, OTR
• Sarah J Matthews, LPN
• Victoria Maurer, MSW
• Bryna Raquel May, LPC
• Leah May, PT, DPT
• Robert Mayhle

• Primary Care Clinic/Center in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.