Matrone Primary Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5006048 Issued in NC

Legal business name

MATRONE PRIMARY CARE

Practice address

2412 Windsor TRL
Raleigh, NC 27615-1200

Phone

(919) 410-3734

Fax

(984) 242-4502

NPI assigned

Jul 9, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Andrew K Matrone, ANP

Title

Ceo

Phone

(919) 410-3734

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1437501863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WINDSOR TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151200",
            "telephone_number": "919-410-3734",
            "fax_number": "984-242-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WINDSOR TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151200",
            "telephone_number": "919-410-3734",
            "fax_number": "984-242-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRONE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "MATRONE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-410-3734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "5006048",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "500048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisha Larae Mathis, LCSW
• Patricia Ann Mathis
• Teimeka Mathis
• James Michael Mathues, MOT, OTR/L
• Tushar Mathur, MD
• Matrone Primary Care LLC
• Natalia Matteo, AUD
• Paul Anthony Mattera, PA-C
• Matters of the Heart 1 Inc
• Marissa Lynn Matteucci, BCBA

• Assisted Living Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.