Organization Active NPI

Matriscino Associates,Inc.

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
National Provider Identifier
1326381070
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
P97000056660 Issued in FL
Legal business name
MATRISCINO ASSOCIATES,INC.
Practice address
3600 Broadway Ste 11
West Palm Beach, FL 33407-4844
Phone
(561) 832-7007
NPI assigned
Apr 1, 2013
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dion MatriscinoNPI 1033414545
Title
President
Phone
(561) 832-7007

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X P97000056660 FL Primary

Addresses

Primary practice location

3600 Broadway Ste 11
West Palm Beach, FL 33407-4844

Mailing address

3600 Broadway Ste 11
West Palm Beach, FL 33407-4844

Other identifiers 1

IdentifierTypeStateIssuer
677834800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130710000713 FL Part B Supplier - Clinic/Group Practice 4981844214 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

200 Butler St
Ste 103
West Palm Beach, FL 33407
Phone (561) 685-2344

2300 Palm Beach Lakes Blvd
Ste 210
West Palm Beach, FL 33409
Phone (561) 480-7557

3600 Broadway
Ste 11
West Palm Beach, FL 33407
Phone (561) 832-7007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1326381070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY STE 11",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY STE 11",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074844",
            "telephone_number": "561-832-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRISCINO ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MATRISCINO",
        "authorized_official_first_name": "DION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-832-7007"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "P97000056660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677834800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.