JONATHAN MATZKO


Address: 16 Ginter St, Franklin, NJ 07416-1710
Phone: 9738272473

JONATHAN MATZKO (NPI# 1447683685) 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) 1447683685
Entity Type Individual
Full Name JONATHAN MATZKO
Credential DC, D-ABNM
Practice Address 16 Ginter St
Franklin
NJ 07416-1710
Mailing Address 1086 Teaneck Rd
Suite 4a
Teaneck
NJ 07666-4854
Practice Telephone 9738272473
Mailing Telephone 2018629900
Mailing Fax Number 2018629136
Enumeration Date 2013-08-12
Last Update Date 2013-08-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
71 NJ Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 16 GINTER ST
City FRANKLIN
State NJ
Zip Code 07416-1710

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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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1609489772 Bushra Ali Specialist/Technologist, Other 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 2020-08-28
1336700467 Soma Potential LLC Specialist/Technologist, Other 20 Mercury Ave, Colonia, NJ 07067-2512 2019-06-28
1558926469 Joshua Goll Specialist/Technologist, Other 700 Route 46 E Ste 420, Fairfield, NJ 07004-1532 2019-05-06
1699231209 Pro Monitoring Associates LLC Specialist/Technologist, Other 152 W 10th St, Bayonne, NJ 07002-1357 2019-02-19
1861958464 Haytham E Osman Specialist/Technologist, Other 344 Grove St # 4047, Jersey City, NJ 07302-5923 2019-02-19
1922592518 Northeast Regional Neuro Monitoring Specialist/Technologist, Other 115 Marsellus Pl, Garfield, NJ 07026 2018-06-18
1497292866 Lauren Mazurek Specialist/Technologist, Other 153 White Pine Rd, Chesterfield, NJ 08515-2206 2017-01-24
1174860381 Mohammad Naveed Shaikh Specialist/Technologist, Other 1306 Mindy Ln, Piscataway, NJ 08854-5984 2013-01-08
1275818502 Wali Siddiqui Specialist/Technologist, Other 65 Eardley Rd, Edison, NJ 08817-3054 2011-10-18
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Competitor

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City FRANKLIN
Zip Code 07416

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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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