Organization Active NPI

Dr. Richard J. Matuszczak P.C.

  • Chiropractor
  • East Longmeadow, MA
National Provider Identifier
1932329778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA 1138 Issued in MA
Legal business name
DR. RICHARD J. MATUSZCZAK P.C.
Practice address
313 Maple St
East Longmeadow, MA 01028-2763
Phone
(413) 525-0225
Fax
(413) 525-8839
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debra A Borecki
Title
Office Staff
Phone
(413) 525-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MA 1138 MA Primary

Addresses

Primary practice location

313 Maple St
East Longmeadow, MA 01028-2763

Mailing address

313 Maple St
East Longmeadow, MA 01028-2763
Phone (413) 525-0225

Other identifiers 1

IdentifierTypeStateIssuer
9711708MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932329778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAPLE ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282763",
            "telephone_number": "413-525-0225",
            "fax_number": "413-525-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAPLE ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282763",
            "telephone_number": "413-525-0225",
            "fax_number": "413-525-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD J. MATUSZCZAK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORECKI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "413-525-0225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA 1138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711708",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.