ROYCE MATHEW P.A.C NPI 1285033506

NPI Information

NPI: 1285033506
Provider Name: ROYCE MATHEW, P.A.C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
9401 SW DISCOVERY WAY STE 101
PORT SAINT LUCIE, FL
ZIP 34987
Phone: (772) 288-2400
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Royce Mathew, P.A.C is a surgical physician assistant in Port Saint Lucie, FL with 10 years of experience. Royce Mathew, P.A.C NPI is 1285033506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9401 SW DISCOVERY WAY STE 101
PORT SAINT LUCIE, FL
ZIP 34987-381
Phone: (772) 288-2400

The NPI 1285033506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2014 and was last updated on 12/20/2022.

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	363A00000X	Physician Assistant		PA9112762	FLORIDA	No
2	363A00000X	Physician Assistant		017786	NEW YORK	No
3	363AM0700X	Physician Assistant	Medical	017786	NEW YORK	No
4	363AS0400X	Physician Assistant	Surgical	017786	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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