Organization Active NPI

Matthew Kulka, D.O., P.C.

  • Family Medicine Physician
  • Langhorne, PA
National Provider Identifier
1508967233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MATTHEW KULKA, D.O., P.C.
Practice address
1703 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1082
Phone
(215) 968-3655
Fax
(215) 968-4830
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew Robert Kulka, D.ONPI 1528152618
Title
PC
Phone
(215) 968-3655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1703 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1082

Mailing address

1703 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1082
Phone (215) 968-3655

Other names 1

  • Newtown Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000067 PA Part B Supplier - Clinic/Group Practice 3173435385 Receives reassigned benefits from 1 practitioner
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508967233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LANGHORNE NEWTOWN RD STE 1",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471082",
            "telephone_number": "215-968-3655",
            "fax_number": "215-968-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LANGHORNE NEWTOWN RD STE 1",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471082",
            "telephone_number": "215-968-3655",
            "fax_number": "215-968-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW KULKA, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "215-968-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newtown Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.