Jaliah Matovu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R229717 Issued in MD

Practice address

3559 Boston St
Baltimore, MD 21224-5750

Phone

(410) 246-8516

NPI assigned

Jun 25, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juniper Healthcare LLC

  • Nurse Practitioner
  • Catonsville, MD
  • NPI 1346608171

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1174193874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 BOSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245750",
            "telephone_number": "410-246-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 BOSTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245750",
            "telephone_number": "410-246-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOVU",
        "first_name": "JALIAH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R229717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taahirah Matin
• Brian Richard Matlaga, M.D.
• Leigh E Matlaga, M.D.
• Brett James Matoian, MD
• Andres Matoso
• Matriarch Services LLC (Matriarch Mental Health)
• Matrix RX (Matrix Rx Health Services)
• Rebecca R Matsakis, MD
• Koji Matsuo, MD
• Tiffany Concepcion Matsuo

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.

Verify at the official NPI Registry.