Individual provider Active NPI

James Harvey Matthews, MD

  • Family Medicine Physician
  • Lackawanna, NY
National Provider Identifier
1114964988
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
131142 Issued in NY
Practice address
227 Ridge Rd
Lackawanna, NY 14218-1156
Phone
(716) 822-5944
Fax
(716) 822-3937
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 131142 NY Primary

Addresses

Primary practice location

227 Ridge Rd
Lackawanna, NY 14218-1156

Mailing address

227 Ridge Rd
Lackawanna, NY 14218-1156
Phone (716) 822-5944

Other identifiers 1

IdentifierTypeStateIssuer
RB2517OtherMEDICARE ID TYPE UNS;PECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1114964988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181156",
            "telephone_number": "716-822-5944",
            "fax_number": "716-822-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181156",
            "telephone_number": "716-822-5944",
            "fax_number": "716-822-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JAMES",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "131142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNS;PECIFIED",
            "identifier": "RB2517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.