Carl J. Mattia, D.P.M., L.L.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC-004374-L Issued in PA

Legal business name

CARL J. MATTIA, D.P.M., L.L.C.

Practice address

301 Oxford Valley Rd
Suite 904 a
Yardley, PA 19067-7706

Phone

(215) 370-5267

Fax

(215) 794-5379

NPI assigned

Oct 31, 2006

Last updated

Apr 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl John Mattia, D.P.M.NPI 1073519633

Title

Member

Phone

(215) 794-7553

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24410/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl J Mattia, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Yardley, PA
  • NPI 1073519633
  Medicare reassignment NPD Authorized official
• Amy Hall, DPM

  • Podiatrist
  • Newtown, PA
  • NPI 1538272125
  Medicare reassignment NPD
• Gregory E. Parker, DPM

  • Podiatrist
  • Langhorne, PA
  • NPI 1497794689
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1174609069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 BROOKSHIRE RD",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251253",
            "telephone_number": "215-794-7553",
            "fax_number": "215-794-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 904 A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "215-370-5267",
            "fax_number": "215-794-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL J. MATTIA, D.P.M., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "MATTIA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "215-794-7553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-004374-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RRB",
            "identifier": "DF3882",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Cain, LCSW
• Anna Maria Calabrese, MS,CCC-SLP
• John Larry Caldwell, MA
• Carmen David Campanelli Jr., M.D.
• Capstone Behavioral Associates Inc.
• Bradley Caro, DO
• Crystal June Carson, M.S.; LPC
• Danielle Lauren Carson, PA
• Eddie Carvajal
• Michael Mark Castor Sr., D.C

• Podiatrist in Yardley, PA
• Providers in Yardley, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.