Matthew Butler
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Newark, DE
NPI 1487945002 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1487945002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-0001 - Phone
- (732) 325-7716
- NPI assigned
- Apr 30, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-0001
Mailing address
4755 Ogletown Stanton Rd
Newark, DE 19718-0001
Phone (302) 733-1000
NPI Registry JSON
{
"created_epoch": "1304121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1487945002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197180001",
"telephone_number": "302-733-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197180001",
"telephone_number": "732-325-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-30",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- Antonisha Busby
- Alexander Daryle Busch
- Veronica Bustillo-Aruca
- Alexandra Anne Butler
- Allison Marie Butler
- Reese Butler
- Serena Butler
- Warren G Butt
- Wendy Rios Butts
- Stacey Lynn Byam
All providers in Newark, DE · Student in an Organized Health Care Education/Training Program in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.