Matt Hosseini DPM PHD Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00252900 Issued in NJ

Legal business name

MATT HOSSEINI DPM PHD INC

Practice address

2728 E Main St
Millville, NJ 08332-9638

Phone

(856) 825-7331

Fax

(856) 825-7512

NPI assigned

Jul 22, 2010

Last updated

Jul 22, 2010By 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. Matt Hosseini, DPM

Title

Ceo

Phone

(856) 825-7331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• holly city podiatry Other name

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1215240940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 E MAIN ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083329638",
            "telephone_number": "856-825-7331",
            "fax_number": "856-825-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 E MAIN ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083329638",
            "telephone_number": "856-825-7331",
            "fax_number": "856-825-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT HOSSEINI DPM PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "HOSSEINI",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-825-7331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00252900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7910509",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "holly city podiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marie Christine Manherz
• Joseph Marchetti, PHARMD
• Pedro R Margate, MD
• Charles N Marley, OPTICIAN
• Danielle Martin
• Katherine Maull
• Maurice House NJ Operations
• Kellie Ann McCloskey
• Janice Carol McMahon, LPN
• Vonda Lee McPherson

• Foot & Ankle Surgery Podiatrist in Millville, NJ
• Providers in Millville, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

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