East Detroit Pain and Rehab PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST DETROIT PAIN AND REHAB PLLC

Practice address

10575 Morang Dr
Detroit, MI 48224-1880

Phone

(313) 884-5477

Fax

(313) 884-5478

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Lee Matfus, M.D.

Title

Owner

Phone

(201) 294-1010

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1699168146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 MORANG DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241880",
            "telephone_number": "313-884-5477",
            "fax_number": "313-884-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10575 MORANG DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241880",
            "telephone_number": "313-884-5477",
            "fax_number": "313-884-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DETROIT PAIN AND REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "MATFUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-294-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00409105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Easley, RN
• Shanice Easley
• Brianna Lynn Eason
• Darrin Eason
• Toya D. Eason, LPC
• East Detroit Primary Care, PLLC
• East Grand Nursing Home, Inc.
• East Paris Pharmacy LLC
• Haley East
• Eastbrooke Medical Center

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.