Active NPI
Richard F Matuszak, RD, LD
- Registered Dietitian
- Medina, NY
National Provider Identifier
1386832509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT07536
- Practice address
- 223 N Gravel Rd
Medina, NY 14103-9401 - Phone
- (585) 798-5933
- NPI assigned
- Oct 12, 2007
- Last updated
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT07536 | TX | Primary |
Addresses
Primary practice location
223 N Gravel Rd
Medina, NY 14103-9401
Mailing address
223 N Gravel Rd
Medina, NY 14103-9401
Phone (585) 798-5933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT07536 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1386832509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N GRAVEL RD",
"city": "MEDINA",
"state": "NY",
"postal_code": "141039401",
"telephone_number": "585-798-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N GRAVEL RD",
"city": "MEDINA",
"state": "NY",
"postal_code": "141039401",
"telephone_number": "585-798-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSZAK",
"first_name": "RICHARD",
"middle_name": "F",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT07536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, NY
- Lpec Medical Eyecare PLLC (Lake Plains Eye Center)
- Mary Elizabeth Luhr Johnson, CRNA
- Thomas J Madejski, MD
- Cindy Michelle Marzan, LPN
- Debra Lynn Mattoon, LPN
- Amanda Ann McDonald, RN FNP
- Derrick Laird McGaughey, L.S.P., C.C.C.
- Kelly Deann McMurray, LPN
- Medina Central School District
- Medina Dental PLLC (Lockport Dental Group PC d/b/s Medina Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.