Kimberly Matthews, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86044311

Practice address

255 Lafayette Ave
Suffern, NY 10901-4869

Phone

(845) 368-5000

NPI assigned

Nov 11, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1215693437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GROVE ST APT 9",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424048",
            "telephone_number": "973-303-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014869",
            "telephone_number": "845-368-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIMBERLY",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86044311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M Massaro, MA, CCC, SLP
• Arianna Masterson, RN
• Liliana Mata, PHARMD
• Roseanne Mathew, PHARM. D.
• Suja Aby Mathew, BPHARM
• Leah Matyas, LMHC
• Lauren Matza
• Josephine Marie Maurer, RN
• Brittany Jane Mayer, PMHNP
• Lynn Mayer, NP

• Registered Dietitian in Suffern, NY
• Providers in Suffern, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.