Susan E Matarese, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C5-0000315 Issued in DE

Practice address

1200 Peoples PLZ
Suite 1285
Newark, DE 19702-5701

Phone

(302) 832-0880

Fax

(302) 832-1640

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Asthma and Allergy Care of Delaware, P.a.

  • Allergy & Immunology Physician
  • Newark, DE
  • NPI 1871525626
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1114935152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WINTERCORN CIR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071402",
            "telephone_number": "302-239-9372",
            "fax_number": "302-239-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PEOPLES PLZ",
            "address_2": "SUITE 1285",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025701",
            "telephone_number": "302-832-0880",
            "fax_number": "302-832-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARESE",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0000315",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002115L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Massett
• Caitlin Massone, MD
• Jaime L Massucci, MD
• Gita Master, OTR
• Gregory A Masters, MD
• Dana Matelyan, PA-C
• Maternity and Gynecology Associates
• Donald Mathes, MD
• Chloe Mathew, PA-C
• Irene A Mathew, OTR

• Medical Physician Assistant in Newark, DE
• Providers in Newark, DE by specialty
• Medical Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.