NPIMap

Organization Active NPI

J Matthew Knight M D P a

  • Procedural Dermatology Physician
  • Orlando, FL
National Provider Identifier
1386830263
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
J MATTHEW KNIGHT M D P A
Practice address
801 N Orange Ave
Suite 520
Orlando, FL 32801-1026
Phone
(407) 992-0660
Fax
(407) 992-7702
NPI assigned
Sep 24, 2007
Reactivated
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Dr. James Matthew Knight, M.D.NPI 1194727586
Title
Physician/President
Phone
(407) 992-0660

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
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

801 N Orange Ave
Suite 520
Orlando, FL 32801-1026

Mailing address

801 N Orange Ave
Suite 520
Orlando, FL 32801-1026
Phone (407) 992-0660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080216000044 FL Part B Supplier - Clinic/Group Practice 8022191865 Receives reassigned benefits from 21 practitioners
Practice locations: Winter Park, FL; Orlando, FL; Lake Mary, FL; Melbourne, FL

National Provider Directory

National Provider Directory

Locations

3200 N Wickham Rd
Ste 56
Melbourne, FL 32935

3200 N Wickham Rd
Ste 5
Melbourne, FL 32935
Phone (407) 992-0660

801 Orange Ave
Ste 520
Winter Park, FL 32789

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1386830263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE",
            "address_2": "SUITE 520",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011026",
            "telephone_number": "407-992-0660",
            "fax_number": "407-992-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE",
            "address_2": "SUITE 520",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011026",
            "telephone_number": "407-992-0660",
            "fax_number": "407-992-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MATTHEW KNIGHT M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2019-04-12",
        "deactivation_date": "2019-02-22",
        "reactivation_date": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "407-992-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.