CARL J. MATTIA, D.P.M., L.L.C. (NPI# 1174609069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174609069 |
| Entity Type | Organization |
| Organization Name | CARL J. MATTIA, D.P.M., L.L.C. |
| Practice Address |
301 Oxford Valley Rd Suite 904 A Yardley PA 19067-7706 |
| Mailing Address |
2139 Brookshire Rd Furlong PA 18925-1253 |
| Practice Telephone | 2153705267 |
| Practice Fax Number | 2157945379 |
| Mailing Telephone | 2157947553 |
| Mailing Fax Number | 2157945379 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | DR. CARL JOHN MATTIA (MEMBER) |
| Authorized Official Telephone | 2157947553 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC-004374-L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE RRB | DF3882 | 01 |
| Street Address |
301 OXFORD VALLEY RD SUITE 904 A |
| City | YARDLEY |
| State | PA |
| Zip Code | 19067-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630152 | Mark S Ross | Podiatrist | 301 Oxford Valley Rd, Ste 1106a, Yardley, PA 19067-7718 | 2005-06-24 |
| 1760095244 | Alexander Kiss | Psychologist | 301 Oxford Valley Rd, Yardley, PA 19067-7706 | 2020-08-25 |
| 1508416645 | Manju Philip-nedumakel | Social Worker | 301 Oxford Valley Rd, Ste 1803a, Yardley, PA 19067-7725 | 2019-09-19 |
| 1295213676 | Gina Marie Murphy | Counselor | 301 Oxford Valley Rd, Suite 1800, Yardley, PA 19067 | 2018-07-30 |
| 1669907283 | Eddie Carvajal | Acupuncturist | 301 Oxford Valley Rd, Suite 1405, Yardley, PA 19067-7706 | 2017-04-21 |
| 1710335377 | Milestone Behavioral Health LLC | Community/Behavioral Health | 301 Oxford Valley Rd, Suite 305b, Yardley, PA 19067-7706 | 2016-05-24 |
| 1033580105 | Aria Health Physician Services | Internal Medicine | 301 Oxford Valley Rd, Suite 901, Yardley, PA 19067-7706 | 2015-10-14 |
| 1639549785 | Bucks Thyroid & Endocrine Care LLC | Internal Medicine | 301 Oxford Valley Rd, Suite 1803a, Yardley, PA 19067-7725 | 2015-10-01 |
| 1336525476 | Sea of Smiles | Dentist | 301 Oxford Valley Rd, Yardley, PA 19067-7706 | 2015-07-30 |
| 1740669019 | Laurie E Etzrodt | Social Worker | 301 Oxford Valley Rd, 304a, Yardley, PA 19067-7706 | 2015-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1558833780 | Bucks Behavioral Healthcare, LLC | Clinic/Center | 81 Big Oak Rd, Suite 102, Morrisville, PA 19067 | 2018-12-28 |
| 1952838690 | Capstone Behavioral Associates Inc. | Psychiatry & Neurology | 33 S Delaware Ave Ste 105, Yardley, PA 19067 | 2017-05-12 |
| 1386187474 | Patient Direct Rx | Pharmacy | 301 Oxford Valley Road, Suite 1203a, Yardley, PA 19067 | 2016-11-22 |
| 1275981011 | K & S Counseling Services, LLC | Community/Behavioral Health | 1790 Yardley-langhorne Road Heston Hall, Suite 107, Yardley, PA 19067 | 2016-06-02 |
| 1164877361 | Vitacom | Dietitian, Registered | 1695 Susan Circle, Yardley, PA 19067 | 2016-04-26 |
| 1316309792 | Lisa Fobian | Counselor | 70-90 W. Afton Avenue, Suite 101, Yardley, PA 19067 | 2016-03-24 |
| 1720474968 | Stephen Vanni | Internal Medicine | 1050 Stony Hill Rd, Yardley, PA 19067 | 2015-04-14 |
| 1376943712 | Lang Massage Services | Massage Therapist | 33 South Delaware Ave.suite #201, Yardley, PA 19067 | 2014-09-03 |
| 1427457068 | Brian Sung Wook Yoon | Acupuncturist | 81 Big Oak Rd Suite 105, Yardley, PA 19067 | 2014-08-20 |
| Find all providers in zip 19067 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265478333 | Bruce Elias Kamen | Podiatrist | 301 Oxford Valley Road, Suite 204, Yardley, PA 19067 | 2006-06-20 |
| 1659339075 | Michael Bennett Newman | Podiatrist | 603 Floral Vale Blvd, Yardley, PA 19067-5528 | 2006-05-03 |
| 1134163801 | Mark E Burton, Dpm PC | Podiatrist | 603 Floral Vale Blvd, Yardley, PA 19067-5528 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674462 | Difranco Family Foot Care LLC | Podiatrist | 4044 Sandalwood Dr, Erie, PA 16506-4764 | 2020-09-16 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1558980904 | Ralph Mazer | Podiatrist | 31 W Ashland St, Doylestown, PA 18901-4228 | 2020-04-15 |
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1831736024 | Christopher A Panek Dpm PC | Podiatrist | 9000 Perry Hwy Ste 210, Pittsburgh, PA 15237-5367 | 2019-12-06 |
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1821655861 | Dean M Ruday Dpm | Podiatrist | 2404 Bristol Road, Bensalem, PA 19020-6002 | 2019-05-24 |
| 1326601816 | John Scheland, Dpm PC | Podiatrist | 3 Abington Executive Park Ste 7, Clarks Summit, PA 18411-2269 | 2019-04-19 |
| 1790250033 | Gentle Touch Mobile Podiatry, LLC | Podiatrist | 128 Whistle Dr, Harrison City, PA 15636-1252 | 2018-10-12 |
| 1154802825 | Lisa Rhodes | Podiatrist | 5055 Swamp Rd Ste 203, Fountainville, PA 18923-9656 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARL J. MATTIA, D.P.M., L.L.C..
| 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.