MRS. LORI S. MATULEWICZ (NPI# 1679993828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679993828 |
| Entity Type | Individual |
| Full Name | MRS. LORI S. MATULEWICZ |
| Credential | N.P.P. |
| Practice Address |
500 Central Ave. Equinox, Inc. Albany NY 12206 |
| Mailing Address |
500 Central Ave Equinox, Inc. Albany NY 12206 |
| Practice Telephone | 5184359931 |
| Practice Fax Number | 5184359937 |
| Mailing Telephone | 5184359931 |
| Mailing Fax Number | 5184359937 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F-401682 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401682-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 CENTRAL AVE. EQUINOX, INC. |
| City | ALBANY |
| State | NY |
| Zip Code | 12206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| 1861676009 | Capital District Pediatrics P.l.l.c | Clinic/Center | 400 Patroon Creek, Suite 201, Albany, NY 12206 | 2007-12-24 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513557 | Sabrina Powell-cobb | Nurse Practitioner | 2304 W Gordon Ave Apt 122, Albany, GA 31707-4602 | 2019-05-14 |
| 1285133603 | Patricia Hayden Schiller | Nurse Practitioner | 16 Computer Dr W Ste 103, Albany, NY 12205-1624 | 2018-02-12 |
| 1366847246 | Sage College Wellness Center - Albany | Nurse Practitioner | 140 Nw Scotland Ave, Albany, NY 12208 | 2014-11-04 |
| 1598918161 | Maureen Mary Masterson | Nurse Practitioner | 75 New Scotland Avenue, Capital District Psychiatric Center, Albany, NY 12208-3409 | 2008-10-28 |
| 1760539357 | Penny Lee Stute | Nurse Practitioner | 3311 Madison St Se, Albany, OR 97322-4151 | 2007-01-04 |
| 1801961669 | Marilyn Anne Vondollen | Nurse Practitioner | 1471 Western Ave, Albany, NY 12203-3512 | 2006-11-21 |
| 1780631341 | Lisa Zawalski | Nurse Practitioner | 1 Pinnacle Place Suite 102, Pinnacle Behavioral Health, Albany, NY 12203-3001 | 2006-05-28 |
| 1790306579 | Katherine Rose Hiles | Nurse Practitioner | 315 S Manning Blvd, Albany, NY 12208-1707 | 2020-05-03 |
| 1982246310 | Jennifer Marsden Kekis | Nurse Practitioner | 260 S Pearl St, Albany, NY 12202-1809 | 2019-10-17 |
| 1366912537 | Taylor Gamble | Nurse Practitioner | 601 11th Ave, Albany, GA 31701-1645 | 2018-11-30 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on MRS. LORI S. MATULEWICZ.
| 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.