Individual provider Active NPI

Matthew A Forjohn, PA-C

  • Medical Physician Assistant
  • Lansdale, PA
National Provider Identifier
1285655043
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA051616 Issued in PA
Practice address
815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone
(215) 257-5071
Fax
(215) 257-1801
NPI assigned
Jul 21, 2006
Last updated
Mar 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA051616 PA Primary

Addresses

Primary practice location

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390

Mailing address

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone (215) 257-5071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051616PAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1285655043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 210",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 210",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORJOHN",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.