Stephan Matuszewski II, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN281587 Issued in PA

Practice address

960A Harvest Dr Ste 100
Blue Bell, PA 19422-1991

Phone

(610) 825-9360

NPI assigned

Apr 24, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1861248627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960A HARVEST DR STE 100",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221991",
            "telephone_number": "610-825-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960A HARVEST DR STE 100",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221991",
            "telephone_number": "610-825-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSZEWSKI",
        "first_name": "STEPHAN",
        "name_suffix": "II",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN281587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Markowitz, DMD
• Eva Doyle Markward, O.D.
• Jane Eyre Martin
• Kia Lynn Matthews, PHARMD
• Genevieve Matuszewski
• Rebecca Maury, M.D.
• Maxirev Recruiters LLC
• Dominic McFadden, MD
• Mary R. McGinley, MD
• Malcolm McHarg, MD

• Licensed Practical Nurse in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.