THOR MATAYA (NPI# 1700240470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700240470 |
| Entity Type | Individual |
| Full Name | THOR MATAYA |
| Credential | CPOA |
| Practice Address |
2612 Linconia Ave Trevose PA 19053-6736 |
| Practice Telephone | 2679807415 |
| Practice Fax Number | 2156382119 |
| Mailing Telephone | 2679807415 |
| Mailing Fax Number | 2156382119 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 45AB00000400 | NJ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2612 LINCONIA AVE |
| City | TREVOSE |
| State | PA |
| Zip Code | 19053-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1881181410 | Linda S Linden | Massage Therapist | 333 Steele Rd, Feasterville, PA 19053 | 2018-04-19 |
| 1336671619 | Marsela Ismailanji | Behavioral Analyst | 4 Neshaminy Interplex Drive, Suite 202, Trevose, PA 19053 | 2017-03-28 |
| 1194189019 | Kathleen A Gant | Nurse Practitioner | 4829 Street Rd, Trevose, PA 19053 | 2016-04-06 |
| 1801263165 | Kristi Ann Wert | Nurse Practitioner | 4829 E. Street Rd, Trevose, PA 19053 | 2015-08-21 |
| 1841675113 | Marlene Lisa Levis | Pharmacist | 176 West Street Road, Feasterville, PA 19053 | 2015-07-28 |
| 1578802229 | Colleen Joan Garneau | Registered Nurse | 2500 N Gate Rd, Trevose, PA 19053 | 2013-01-31 |
| 1225306376 | Michael J Fanelli | Pharmacist | 2 E. Street Rd, Feasterville, PA 19053 | 2011-12-05 |
| 1053689125 | Yuliya Peskin | Pharmacist | 2 E Street Road, Walgreens, Feasterville, PA 19053 | 2011-12-05 |
| 1891000584 | Justin T Jiunta | Physical Therapist | 1040 Mill Creek Drive, Feasterville, PA 19053 | 2010-08-18 |
| Find all providers in zip 19053 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497237663 | Matthew David Zeffert | Specialist/Technologist, Other | 4 Neshaminy Interplex Dr Ste 202, Trevose, PA 19053-6940 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379879 | Oncora Medical, Inc. | Specialist/Technologist, Other | 2104 Market St Ste 300, Philadelphia, PA 19103-3103 | 2020-06-02 |
| 1730700527 | Andrea Beth Morrison | Specialist/Technologist, Other | 500 Charles Ellis Dr Apt 405, Newtown Square, PA 19073-1325 | 2020-05-03 |
| 1518449719 | Tonya Milburn | Specialist/Technologist, Other | 4611 Tackawanna St, Philadelphia, PA 19124-3307 | 2018-09-04 |
| 1699294611 | Fce Consulting, LLC | Specialist/Technologist, Other | 2208 Quarry Dr Ste 203, West Lawn, PA 19609-1158 | 2017-09-11 |
| 1063937381 | Premier Fce | Specialist/Technologist, Other | 2201 Ridgewood Rd Ste 160, Wyomissing, PA 19610-1190 | 2017-08-08 |
| 1215463278 | Kaitlyn Lawrence | Specialist/Technologist, Other | 5776 Limeport Rd, Emmaus, PA 18049-4651 | 2017-05-11 |
| 1780030528 | Melinda Marie Huey | Specialist/Technologist, Other | 420 Buena Vis, Emlenton, PA 16373-9702 | 2016-05-11 |
| 1548663685 | Maria B Rossi | Specialist/Technologist, Other | 1070 Old National Pike # D, Fredericktown, PA 15333-2114 | 2014-10-03 |
| 1659612273 | Andrew George Bukovitz | Specialist/Technologist, Other | University Drive C Vaphs Room Bw207, Pittsburgh, PA 15240 | 2013-03-06 |
| 1902038839 | Paul Lifschutz | Specialist/Technologist, Other | 86 Livery Dr, Churchville, PA 18966-1169 | 2009-08-11 |
| Find all providers with the same taxonomy | ||||
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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.