Thomas Matulewski, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD016599E Issued in PA

Practice address

2100 Keystone Ave
Suite 304
Drexel Hill, PA 19026-1129

Phone

(610) 853-1662

Fax

(610) 853-3078

NPI assigned

Oct 18, 2006

Last updated

Jan 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Health Access Network

  • Physical Medicine & Rehabilitation Physician
  • Chester, PA
  • NPI 1356460380
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1609957513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "MOB 1ST FLOOR",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-853-1662",
            "fax_number": "610-853-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "SUITE 304",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-853-1662",
            "fax_number": "610-853-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULEWSKI",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD016599E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733538",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Tarves Martin, LSW
• Lindsay Ann Martin, PHD, LPC
• Meghan Marie Martin, DMD
• Robert Marvin, MD
• Lawrence Matthews
• Brenda Lea McCann, P.T.
• Matthew Brandon McCarthy, M.D.
• David S McCloskey, MD
• Joanne Paciente McDevitt, RN,BSN
• Lauren Marie McGinnis, PT, DPT

• Surgery Physician in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.