SUSAN E MATARESE


Address: 1200 Peoples Plz, Suite 1285, Newark, DE 19702-5701
Phone: 3028320880

SUSAN E MATARESE (NPI# 1114935152) 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) 1114935152
Entity Type Individual
Full Name SUSAN E MATARESE
Credential PA C
Practice Address 1200 Peoples Plz
Suite 1285
Newark
DE 19702-5701
Mailing Address 2 Wintercorn Cir
Hockessin
DE 19707-1402
Practice Telephone 3028320880
Practice Fax Number 3028321640
Mailing Telephone 3022399372
Mailing Fax Number 3022399342
Enumeration Date 2006-08-04
Last Update Date 2012-02-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
MA002115L PA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
C5-0000315 DE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 PEOPLES PLZ
SUITE 1285
City NEWARK
State DE
Zip Code 19702-5701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740675305 Michelle Dabney Friedberg Dentist 1200 Peoples Plz, Suite 1260, Newark, DE 19702-5701 2015-03-31
1316176191 Stephanie Anne Fegley Nurse Practitioner 1200 Peoples Plz, Suite 1285, Newark, DE 19702-5701 2009-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407467814 Leilanie Redondiez Physical Therapist 110 Blue Ridge Circle, Newark, DE 19702 2020-08-11
1285118679 A Center for Mental Wellness Community Support Programs, LLC Substance Abuse Rehabilitation Facility 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 2018-09-20
1124510854 Shena Williams Counselor 1423 Capital Trail Rd, Newark, DE 19702 2018-05-30
1437664737 Excellence Home Care LLC Home Health 122 Delaware Street, New Castle, DE 19702 2017-12-08
1710496773 Kirt Leigh Randolph Physical Therapy Assistant 229 Barrett Run Place, Newark, DE 19702 2017-09-21
1871014399 Edeline Elicin Marriage & Family Therapist 260 Chapman Road, Suite 100-b, Newark, DE 19702 2017-07-06
1831646454 Rickia Izetta Spivey-kennedy Counselor 36 Avignon Drive, Newark, DE 19702 2016-09-01
1134585748 Thomas Wolters Pharmacist 248 Chaoman Road, Newark, DE 19702 2016-01-12
1851700686 Candice Roberts Nurse Practitioner 100 Biddle Ave Ste 101, Newark, DE 19702 2014-08-06
1316367428 Evyline Chioma Occupational Therapist 25 Buttonwood Ct., Newark, DELAWARE 19702 2014-04-16
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457702177 Jacinta Hollinger Physician Assistant C78-80 Omega Dr, Newark, DE 19713-2076 2016-06-23
1851709877 Bethany Anne Melo Physician Assistant 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718-2200 2014-07-23
1437442357 Sherifa P Julien-johnson Physician Assistant 238 Mulberry St, Newark, NJ 07102-3528 2011-05-25
1821319997 Melva M Brown Physician Assistant 354 Doremus Ave, Newark, NJ 07105-4882 2010-06-11
1437303302 Helen Brightman Physician Assistant 150 Bergen St # H245, Newark, NJ 07103-2496 2008-11-05
1669657623 John Stewart Constance Physician Assistant Christiana Care Health System Dept of Medicine, 4755 Ogletown-stanton Rd., Newark, DE 19718-0001 2008-01-08
1306453766 Justin Michael Pipoli Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2020-09-29
1710596895 Alyssa N Floyd Physician Assistant 78 Omega Dr Bldg C, Newark, DE 19713-2064 2020-07-24
1649898834 Nicholas D Biermann Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-14
1922626969 Trevor Thomas Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2020-07-07
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Competitor

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City NEWARK
Zip Code 19702

Improve Information

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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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