Matthew Michael Justus, DO, MPH&TM

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

2017-01893 Issued in NC

Practice address

490 Central Ave
Pearl Harbor, HI 96860-4958

Phone

(910) 451-1962

NPI assigned

May 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1588012553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HALAWA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183106",
            "telephone_number": "402-525-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604958",
            "telephone_number": "910-451-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO, MPH&TM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NE",
            "license": "1680",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NC",
            "license": "2017-01893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Jankosky, M.D.
• Nikole Marie Jeffries, LPN
• Justin Charles Jenks, R.N.
• Tyler Russell Johansen, DMD, MS
• James J Jones, LCDC
• Sandy Kaliko Kai, R.N.
• Arthur C. Kalfus, D.D.S.
• Kathy Kim Anderson Kam, R.N.
• Karen Lee Kanaka'Ole, LPN
• Sharolyn Maliana Kaui, RN, ATC, PTA

• Public Health & General Preventive Medicine Physician in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Public Health & General Preventive Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.