Active NPI
Matthew Nicholas Sheeran, PA-C
- Orthopaedic Surgery of the Spine Physician
- Englewood, NJ
National Provider Identifier
1538837802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 25MP00638900
- 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
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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00638900 | NJ | MD | Orthopaedic Surgery of the Spine Physician |
Interoperability endpoints
- 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.