Active NPI
Eva Anne Matuszak, M.S.
- Occupational Therapist
- Long Beach, NY
National Provider Identifier
1851623102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012943
- Practice address
- 96 Pacific Blvd
Long Beach, NY 11561-4700 - Phone
- (516) 705-4362
- NPI assigned
- Feb 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 012943 | NY | Primary |
Addresses
Primary practice location
96 Pacific Blvd
Long Beach, NY 11561-4700
Mailing address
96 Pacific Blvd
Long Beach, NY 11561-4700
Phone (516) 705-4362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1851623102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 PACIFIC BLVD",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614700",
"telephone_number": "516-705-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 PACIFIC BLVD",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614700",
"telephone_number": "516-705-4362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSZAK",
"first_name": "EVA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.