Individual provider Active NPI

Judith A Rodkey-Matusky, R.D.

  • Registered Dietitian
  • Bryn Mawr, PA
National Provider Identifier
1528350899
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001445 Issued in PA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN001445PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Nutrition, LLC Dietitian, Registered PastSince Dec 15, 2019 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.

Verify at the official NPI Registry.