Matrix Wound Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MATRIX WOUND SUPPLY

Practice address

480 Pierce St
Suite 101
Kingston, PA 18704-5512

Phone

(570) 885-4485

NPI assigned

Mar 12, 2013

Last updated

Mar 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Rosencrans

Title

Partner

Phone

(570) 885-4485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1891036117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST",
            "address_2": "SUITE 101",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST",
            "address_2": "SUITE 101",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-885-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX WOUND SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "ROSENCRANS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-885-4485"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle T Martin, LPC
• Josephine Marie Martinez, BA
• Mary Ann Yenason PH D
• Mary Martin
• Arline Matkins, RN
• Michele Mattie, PHD
• James M Mattucci Jr., MD
• Sara McCormack, PA-C
• James Robert McDermott, D.C.
• Randy Charles McDermott, PTA

• Durable Medical Equipment & Medical Supplies in Kingston, PA
• Providers in Kingston, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.