MR. STEVEN MATTA


Address: 100 Station Lndg Unit 405, Medford, MA 02155-5179
Phone: 9785789051

MR. STEVEN MATTA (NPI# 1275964256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275964256
Entity Type Individual
Full Name MR. STEVEN MATTA
Credential MS
Practice Address 100 Station Lndg Unit 405
Medford
MA 02155-5179
Practice Telephone 9785789051
Mailing Telephone 9785789051
Enumeration Date 2013-12-02
Last Update Date 2013-12-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 100 STATION LNDG UNIT 405
City MEDFORD
State MA
Zip Code 02155-5179

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
1922658830 Michelle Anne Zona Counselor 100 George Hassett Dr, Medford, MA 02155 2019-09-13
1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
1265915128 Erin Roberts Counselor Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 2018-09-07
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1447732573 Mystick Women's Health, Inc. Obstetrics & Gynecology 13 Bradlee Road, Medford, MA 02155 2018-09-05
1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
1891287108 Xuhua Qin Psychologist 120 Curtis Street, Medford, MA 02155 2018-06-01
1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821696261 Julia Elizabeth Erskine Student in an Organized Health Care Education/Training Program 119 Boston Ave Apt 1, Medford, MA 02155-3570 2020-10-16
1720695695 Elizabeth Moynihan Student in an Organized Health Care Education/Training Program 9 Marion St, Medford, MA 02155-6219 2020-09-25
1043820764 Shane L Totten Student in an Organized Health Care Education/Training Program 19 Hamilton St, Medford, MA 02155-4207 2020-08-06
1649810136 Kelly Alaina Walsh Student in an Organized Health Care Education/Training Program 289 Elm St Apt 62c, Medford, MA 02155-1068 2020-01-13
1487150785 Sara Krivan Student in an Organized Health Care Education/Training Program 205 Jamaica Ave, Medford, NY 11763-3239 2018-04-04
1508316829 Sierra Ruth Fuller Student in an Organized Health Care Education/Training Program 345 Salem St, Medford, MA 02155-3308 2016-10-11
1447605159 Andrew Allen Fryer Student in an Organized Health Care Education/Training Program 32 Nottingham Dr, Medford, NJ 08055-8533 2016-05-01
1376959411 Parham Shahkar Student in an Organized Health Care Education/Training Program 3920 Mystic Valley Pkwy Apt 1121, Medford, MA 02155-6911 2014-07-09
1669895181 Louise Haddock Student in an Organized Health Care Education/Training Program 12 Hadley Pl, #2, Medford, MA 02155-3905 2014-02-04
1922610286 Kimberly Patricia Rosalia Student in an Organized Health Care Education/Training Program 12 Platinum Ct, Medford, NY 11763-2247 2020-08-18
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 02155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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