Individual provider Active NPI

Matthew Nicholas Sheeran, PA-C

  • Orthopaedic Surgery of the Spine Physician
  • Englewood, NJ
National Provider Identifier
1538837802
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
25MP00638900 Issued in NJ
Practice address
440 Curry Ave Ste a
Englewood, NJ 07631-1794
Phone
(201) 227-1299
Fax
(201) 227-0077
NPI assigned
Sep 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X 25MP00638900 NJ Primary

Addresses

Primary practice location

440 Curry Ave Ste a
Englewood, NJ 07631-1794

Mailing address

440 Curry Ave Ste a
Englewood, NJ 07631-1794
Phone (201) 227-1299

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MP00638900NJMDOrthopaedic Surgery of the Spine Physician

Interoperability endpoints

  • Direct secure messaging: matthew.sheeran.1@17698.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1538837802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CURRY AVE STE A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311794",
            "telephone_number": "201-227-1299",
            "fax_number": "201-227-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CURRY AVE STE A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311794",
            "telephone_number": "201-227-1299",
            "fax_number": "201-227-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERAN",
        "first_name": "MATTHEW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MP00638900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.