Organization Active NPI

Natures Way Medicine

  • Medical Specialty Clinic/Center
  • Wilmington, DE
National Provider Identifier
1255861308
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NATURES WAY MEDICINE
Practice address
1224 N King St
Wilmington, DE 19801-3232
Phone
(855) 420-3627
Fax
(855) 696-3299
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Matthew Antoni Roman, MDNPI 1558649061
Title
President
Phone
(855) 420-3627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X C2-0011823 DE
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X OS012069 PA
Adult Mental Health Clinic/Center 261QM0850X OS012069 PA
Medical Specialty Clinic/Center 261QM2500X DE
Medical Specialty Clinic/Center 261QM2500X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1224 N King St
Wilmington, DE 19801-3232

Mailing address

1224 N King St
Wilmington, DE 19801-3232
Phone (855) 420-3627

Other practice location 1

131 N 4th St
Philadelphia, PA 19106-1995
Phone (844) 472-9333

Other names 1

  • Natures Way Medicine, P.C. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Natures Way Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255861308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 N KING ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013232",
            "telephone_number": "855-420-3627",
            "fax_number": "855-696-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 N KING ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013232",
            "telephone_number": "855-420-3627",
            "fax_number": "855-696-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191061995",
            "country_code": "US",
            "telephone_number": "844-472-9333",
            "fax_number": "855-696-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATURES WAY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANTONI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-420-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C2-0011823",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS012069",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "OS012069",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natures Way Medicine, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.