1952383598 NPI number — MATTHEW ROCCO PONZIO MD

Table of content: MATTHEW ROCCO PONZIO MD (NPI 1952383598)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952383598 NPI number — MATTHEW ROCCO PONZIO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PONZIO
Provider First Name:
MATTHEW
Provider Middle Name:
ROCCO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952383598
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
127 PINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTCLAIR
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07042-4855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-783-0073
Provider Business Mailing Address Fax Number:
973-783-4010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 PINE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTCLAIR
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07042-4855
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-783-0073
Provider Business Practice Location Address Fax Number:
973-783-4010
Provider Enumeration Date:
11/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  25MA02335300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3330109 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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