Active NPI
Judith A Rodkey-Matusky, R.D.
- Registered Dietitian
- Bryn Mawr, PA
National Provider Identifier
1528350899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001445
- Practice address
- 135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129 - Phone
- (610) 325-1390
- Fax
- (610) 325-1373
- NPI assigned
- May 5, 2011
- Last updated
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN001445 | PA | Primary |
Addresses
Primary practice location
135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129
Mailing address
135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129
Phone (610) 325-1390
Other practice location 1
35 Glenbrook Rd
Ardmore, PA 19003-1004
Phone (610) 642-8985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN001445 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Nutrition, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1528350899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE STE 200",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103129",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE STE 200",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103129",
"telephone_number": "610-325-1390",
"fax_number": "610-325-1373"
}
],
"practiceLocations": [
{
"address_1": "35 Glenbrook Rd",
"address_purpose": "LOCATION",
"city": "Ardmore",
"state": "PA",
"postal_code": "190031004",
"country_code": "US",
"telephone_number": "610-642-8985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODKEY-MATUSKY",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.