MS. LORI M. MATCZAK (NPI# 1497977151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497977151 |
| Entity Type | Individual |
| Full Name | MS. LORI M. MATCZAK |
| Credential | RN |
| Practice Address |
3975 Conshohocken Ave Philadelphia PA 19131-5426 |
| Mailing Address |
843 Rising Sun Rd Telford PA 18969-2125 |
| Practice Telephone | 2158791000 |
| Practice Fax Number | 2158793912 |
| Mailing Telephone | 2153687000 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN261173L | PA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019272130004 | 05 |
| Street Address |
3975 CONSHOHOCKEN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952444366 | Easter Seals of Southeastern Pennsylvania | Local Education Agency (LEA) | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2007-02-15 |
| 1730643396 | Kristin Kremer | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2019-01-29 |
| 1073086963 | Easterseals of Southeastern Pennsylvania | Community/Behavioral Health | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2019-01-03 |
| 1265989669 | Julie Goldstein | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2016-09-02 |
| 1538552682 | Brittany Grady | Occupational Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2015-03-13 |
| 1144643453 | Luanne Suplick | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2014-01-23 |
| 1225465685 | Megan Stabler | Occupational Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-10-01 |
| 1730513219 | Jeanette Catherine Mangano | Physical Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-09-03 |
| 1649618257 | Krista Perry | Occupational Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-06-06 |
| 1629318522 | Bryna Dworetsky | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437233 | Joseph O Ampong | Registered Nurse | 1037 Magee Ave, Philadelphia, PA 19111-4815 | 2020-11-05 |
| 1184223927 | Eric Narvaez Bedoya | Registered Nurse | 2201 Tremont St Apt 341, Philadelphia, PA 19115-5041 | 2020-10-22 |
| 1609482074 | Resurreccion Ortigas | Registered Nurse | 1332 Elbridge St, Philadelphia, PA 19111-5511 | 2020-09-21 |
| 1114533668 | Janette Bisnar Bediya | Registered Nurse | 2201 Tremont St Apt E341, Philadelphia, PA 19115-5091 | 2020-09-21 |
| 1841806247 | Kathryn Castro | Registered Nurse | 2301 Tremont St Apt I406, Philadelphia, PA 19115-5076 | 2020-09-21 |
| 1053927434 | Mary Ann Testado | Registered Nurse | 9219 Blue Grass Rd # Appt1, Philadelphia, PA 19114-4370 | 2020-09-21 |
| 1780290262 | Shamona Nophesia Griffiths | Registered Nurse | 936 Brighton St Apt 2, Philadelphia, PA 19111-4129 | 2020-09-19 |
| 1033729561 | Iyatunde Garrett | Registered Nurse | 7615 Dickens Ave, Philadelphia, PA 19153-1310 | 2020-08-10 |
| 1699383067 | Anisa Lynn Ray | Registered Nurse | 5045 Walnut St Apt 3, Philadelphia, PA 19139-3688 | 2020-07-21 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
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| 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.