Lonny Matlick

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB04094300 Issued in NJ

Legal business name

LONNY MATLICK

Practice address

307 Stone Harbor Blvd
Cape May Court House, NJ 08210-2170

Phone

(609) 465-4667

Fax

(609) 465-9387

NPI assigned

Dec 19, 2007

Last updated

Jan 21, 2009By 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

Lonny D Matlick, D.O.NPI 1720088610

Title

Owner

Phone

(609) 465-4667

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lonny Matlick, DO

  • Specialist
  • Cape May Court House, NJ
  • NPI 1720088610
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1922282441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251407",
            "telephone_number": "609-465-4667",
            "fax_number": "609-465-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 STONE HARBOR BLVD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102170",
            "telephone_number": "609-465-4667",
            "fax_number": "609-465-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONNY MATLICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MATLICK",
        "authorized_official_first_name": "LONNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-465-4667",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB04094300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3856224",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "3421860000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.