MS. JANIS T MATTHAI CRNP NPI 1376538835

NPI Information

NPI: 1376538835
Provider Name: MS. JANIS T MATTHAI, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1 E. NEW YORK AVENUE
PENN CARDIOLOGY AT SHORE MEMORIAL
SOMERS POINT,, NJ
ZIP 08244
Phone: (856) 216-0300
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MS. Janis T Matthai, CRNP is a family nurse practitioner in Somers Point,, NJ. MS. Janis T Matthai, CRNP NPI is 1376538835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 E. NEW YORK AVENUE
PENN CARDIOLOGY AT SHORE MEMORIAL
SOMERS POINT,, NJ
ZIP 08244
Phone: (856) 216-0300
Fax: (609) 653-3960

The enumeration date for this NPI number is 9/12/2005 and was last updated on 10/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	VP004288B	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	26NN072123	NEW JERSEY	No
3	363LF0000X	Nurse Practitioner	Family	26NN07212300	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	6808204	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	P58423	MEDICARE UPIN	NEW JERSEY
3	057752PKM	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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