Janine Ann Matsko, M.D.

Individual provider Active NPI Ophthalmology Physician · Philadelphia, PA

NPI 1699954073 · NPPES record last updated Nov 1, 2007

Key facts

NPI
1699954073
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
MD019891E (PA)
Practice address
250 Philip PL
Philadelphia, PA 19106-3902
Phone
(215) 925-4175
Fax
(215) 925-8448
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD019891EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cataract and Primary Eye Care Service, LP Ophthalmology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD019891E PA Yes

Addresses

Primary practice location

250 Philip PL
Philadelphia, PA 19106-3902

Mailing address

250 Philip PL
Philadelphia, PA 19106-3902
Phone (215) 925-4175

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Ophthalmology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.