Individual provider Active NPI

Matthew D. Paterna, D.C.

  • Chiropractor
  • Milford, CT
National Provider Identifier
1811026768
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001587 Issued in CT
Practice address
314 Merwin Ave
Milford, CT 06460-7113
Phone
(203) 932-4766
Fax
(203) 932-4176
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001587 CT Primary

Addresses

Primary practice location

314 Merwin Ave
Milford, CT 06460-7113

Mailing address

314 Merwin Avenue
Milford, CT 06460-7048
Phone (203) 932-4766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000144 CT Practitioner - Chiropractic 0143287615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

314 Merwin Ave
Milford, CT 06460-7113
Phone (203) 932-4476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1587CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Family Chiropractic & Wellness Chiropractor CurrentSince Dec 13, 2004 Accepting new patients

Locations

314 Merwin Ave
Milford, CT 06460
Phone (203) 932-4476

16 Ocean Ave
West Haven, CT 06516
Phone (203) 932-4476

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1811026768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MERWIN AVENUE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607048",
            "telephone_number": "203-932-4766",
            "fax_number": "203-932-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MERWIN AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607113",
            "telephone_number": "203-932-4766",
            "fax_number": "203-932-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERNA",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.