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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD019891E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cataract and Primary Eye Care Service, LP | Ophthalmology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Miguel Angel Matos
- Waleska Matos
- Marc A Matozzo
- Elizabeth A. Matray
- Matrix Medical Supplies Company Inc.
- Lauren Emily Matsnev
- Jillian Grace Matson
- Jokichi Matsubara
- Yuriko Matsuo
- Matt Lerner, PHD PLLC
All providers in Philadelphia, PA · Ophthalmology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.