ANGELA L. MATERA MSN NPI 1609053800

NPI Information

NPI: 1609053800
Provider Name: ANGELA L. MATERA, MSN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
141 FRANKLIN ST
FRANKLIN STREET COMMUNITY HEALTH CENTER
STAMFORD, CT
ZIP 06901
Phone: (203) 969-0802
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Angela L. Matera, MSN is a pediatrics nurse practitioner in Stamford, CT. Angela L. Matera, MSN NPI is 1609053800. 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:

141 FRANKLIN ST
FRANKLIN STREET COMMUNITY HEALTH CENTER
STAMFORD, CT
ZIP 06901-014
Phone: (203) 969-0802
Fax: (203) 357-0162

The NPI 1609053800 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 1/30/2008 and was last updated on 11/19/2010.

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	363LP2300X	Nurse Practitioner	Primary Care	438138	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	003207	CONNECTICUT	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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