Organization Active NPI

Matrone Primary Care LLC

  • Primary Care Clinic/Center
  • Raleigh, NC
National Provider Identifier
1679020473
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0607 Issued in NC
Legal business name
MATRONE PRIMARY CARE LLC
Practice address
2412 Windsor TRL
Raleigh, NC 27615-1200
Phone
(919) 410-3734
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Mr. Andrew K Matrone, ANP
Title
Ceo
Phone
(919) 410-3734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0607 NC Primary

Addresses

Primary practice location

2412 Windsor TRL
Raleigh, NC 27615-1200

Mailing address

2412 Windsor TRL
Raleigh, NC 27615-1200
Phone (919) 410-3734

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1679020473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WINDSOR TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151200",
            "telephone_number": "919-410-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WINDSOR TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151200",
            "telephone_number": "919-410-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRONE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "MATRONE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-410-3734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "0607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.