Matthew Paul Toniatti, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA002957L Issued in PA

Practice address

1 Kacey CT
Suite 101
Mechanicsburg, PA 17055-9223

Phone

(717) 591-0961

Fax

(717) 591-0980

NPI assigned

Feb 10, 2007

Last updated

Mar 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1407997562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E BENNETT ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044940",
            "telephone_number": "570-283-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KACEY CT",
            "address_2": "SUITE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559223",
            "telephone_number": "717-591-0961",
            "fax_number": "717-591-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONIATTI",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002957L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "198927ZA9K",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.