Active NPI
Meeting Point Health PC
- Sports Medicine (Family Medicine) Physician
- Philadelphia, PA
National Provider Identifier
1619490752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- OS014889
- Legal business name
- MEETING POINT HEALTH PC
- Practice address
- 441 Lyceum Ave
Philadelphia, PA 19128 - Phone
- (267) 314-7555
- Fax
- (267) 314-7555
- NPI assigned
- Jul 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Matta, DO
- Title
- Owner
- Phone
- (267) 314-7555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS014889 | PA | Primary |
Addresses
Primary practice location
441 Lyceum Ave
Philadelphia, PA 19128
Mailing address
441 Lyceum Ave
Philadelphia, PA 19128-3418
Phone (267) 314-7555
Other practice location 1
12 W Willow Grove Ave
Philadelphia, PA 19118-3952
Phone (267) 314-7555
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613174400000",
"number": "1619490752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 LYCEUM AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283418",
"telephone_number": "267-314-7555",
"fax_number": "267-314-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 LYCEUM AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19128",
"telephone_number": "267-314-7555",
"fax_number": "267-314-7555"
}
],
"practiceLocations": [
{
"address_1": "12 W Willow Grove Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191183952",
"country_code": "US",
"telephone_number": "267-314-7555",
"fax_number": "267-314-7555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEETING POINT HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-20",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A",
"authorized_official_last_name": "MATTA",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-314-7555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "OS014889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.