NPIMap

Organization Active NPI

Nelson J Matos, D.O., P.L.L.C.

Doing business as Family Medicine Associates

  • Family Medicine Physician
  • Lawrence, MA
National Provider Identifier
1659533073
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
160661 Issued in MA
Legal business name
NELSON J MATOS, D.O., P.L.L.C.
Doing business as
Family Medicine Associates
Practice address
50 Prospect St
Suite 505
Lawrence, MA 01841-2841
Phone
(978) 794-8119
Fax
(978) 794-9912
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Nelson J Matos, D.O.NPI 1912983750
Title
Business Owner
Phone
(978) 794-8119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 160661 MA Primary

Addresses

Primary practice location

50 Prospect St
Suite 505
Lawrence, MA 01841-2841

Mailing address

50 Prospect St
Suite 505
Lawrence, MA 01841-2841
Phone (978) 794-8119

Other identifiers 1

IdentifierTypeStateIssuer
0121240MedicaidMA

Other names 1

  • Family Medicine Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1659533073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PROSPECT ST",
            "address_2": "SUITE 505",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412841",
            "telephone_number": "978-794-8119",
            "fax_number": "978-794-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PROSPECT ST",
            "address_2": "SUITE 505",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412841",
            "telephone_number": "978-794-8119",
            "fax_number": "978-794-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON J MATOS, D.O., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "978-794-8119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "160661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121240",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.