Organization Active NPI

Chris Mattheou MD PA

  • Orthopaedic Surgery Physician
  • Passaic, NJ
National Provider Identifier
1215079249
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA02377200 Issued in NJ
Legal business name
CHRIS MATTHEOU MD PA
Practice address
208 Passaic Avenue
Passaic, NJ 07055
Phone
(973) 779-0012
Fax
(973) 916-1565
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Mr. Chris Mattheou, MD, PA
Title
President
Phone
(973) 779-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 25MA02377200 NJ Primary

Addresses

Primary practice location

208 Passaic Avenue
Passaic, NJ 07055

Mailing address

208 Passaic Avenue
Passaic, NJ 07055
Phone (973) 779-0012

Other names 1

  • Chris Mattheou MD PA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1215079249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PASSAIC AVENUE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-779-0012",
            "fax_number": "973-916-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PASSAIC AVENUE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-779-0012",
            "fax_number": "973-916-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS MATTHEOU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MATTHEOU",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-779-0012",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA02377200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Mattheou MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.