Erica Matluck, Nurse Practitioner in Family Heath, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

NP-337922 Issued in NY

Legal business name

ERICA MATLUCK, NURSE PRACTITIONER IN FAMILY HEATH, PLLC

Practice address

17 John St
New York, NY 10038

Phone

(415) 849-0651

Fax

(628) 895-9500

NPI assigned

May 12, 2018

Organization subpart

No

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

Authorized official

Name

Erica Ragan Matluck, NP, ND

Title

Provider

Phone

(415) 849-0651

Specialties & licenses 3

Addresses

Other names 1

• Seven Senses Doing business as

Locations

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1477043735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JOHN ST # 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384010",
            "telephone_number": "415-849-0651",
            "fax_number": "628-895-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JOHN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "415-849-0651",
            "fax_number": "628-895-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Broadway Ste 1003",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015405",
            "country_code": "US",
            "telephone_number": "415-849-0651",
            "fax_number": "628-895-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERICA MATLUCK, NURSE PRACTITIONER IN FAMILY HEATH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "MATLUCK",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RAGAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "415-849-0651",
        "authorized_official_credential": "NP, ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "ND480",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "RN668584",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "NP-337922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seven Senses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.