Theodore Joseph Matulewicz, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MA32850 Issued in NJ

Practice address

1945 State Route 33
Neptune, NJ 07753-4859

Phone

(732) 776-4144

Fax

(732) 776-4146

NPI assigned

Oct 21, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1982693917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ANN ST",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221403",
            "telephone_number": "732-776-4144",
            "fax_number": "732-776-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4144",
            "fax_number": "732-776-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULEWICZ",
        "first_name": "THEODORE",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "MA32850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0974148",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mini Ann Mathew, D.O
• Anaise E Mathurin, APN
• Joe Matias, APN-BC
• Paul G Matta, MD
• Ronald Matteotti, MD
• Mavida Care Group of New Jersey PC (Mavida Health)
• Debra B MC Kinney-Hill
• Rosemary McCabe, RN, APN,C
• Emilia McCormack, DMD
• Suzanne McCorry

• Anatomic Pathology & Clinical Pathology Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.