DR. MATTHEW C DUDEK (NPI# 1750819538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750819538 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW C DUDEK |
| Credential | MD |
| Practice Address |
2118 Cottman Ave Philadelphia PA 19149-1133 |
| Mailing Address |
8815 Germantown Ave Philadelphia PA 19118-2722 |
| Practice Telephone | 2153423020 |
| Practice Fax Number | 2153423653 |
| Mailing Telephone | 2152488145 |
| Mailing Fax Number | 2152488852 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD470140 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MT213614 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8815 Germantown Ave, Philadelphia, PA 191182722 | (215) 248-8145 | 2152488852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134598618 | Matthew Dudek | Physical Therapist | 505 Morris Ave, Suite 103, Springfield, NJ 07081-1037 | 2015-09-15 |
| 1477113165 | Matthew Dudek | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-06-16 |
| 1245600030 | Matthew Edward Dudek | Physical Therapist | 1893 Ne Miami Gardens Dr, Miami Gardens, FL 33179-5035 | 2015-10-06 |
| Street Address |
2118 COTTMAN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19149-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861721581 | Christina Diana Manderbaugh | Physician Assistant | 2118 Cottman Ave, Philadelphia, PA 19149-1133 | 2009-12-08 |
| 1750741674 | Swanna Luo | Physician Assistant | 2118 Cottman Ave, Philadelphia, PA 19149-1133 | 2016-03-04 |
| 1619350220 | Matthew Hassey | Optometrist | 2118 Cottman Ave, Philadelphia, PA 19149-1133 | 2015-06-30 |
| 1194105445 | Lisa Ashley Maguire | Family Medicine | 2118 Cottman Ave, Philadelphia, PA 19149 | 2015-06-02 |
| 1407254378 | Temple Physicians Inc | Clinic/Center | 2118 Cottman Ave, Philadelphia, PA 19149-1133 | 2014-12-09 |
| 1134474299 | Yasmin Vesamia | Optometrist | 2118 Cottman Ave, Philadelphia, PA 19149-1133 | 2012-07-16 |
| 1396000345 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2118 Cottman Ave, #8, Philadelphia, PA 19149 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418948 | Double Care Inc | Clinic/Center | 2900-14 Cottman Ave, Philadelphia, PA 19149 | 2019-07-16 |
| 1710539457 | Xiao Rong Li | Adult Companion | 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 | 2019-07-12 |
| 1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
| 1851950430 | Halo Staffing Agency, LLC | Home Health | 6401 Akron St., Philadelphia, PA 19149 | 2019-06-07 |
| 1518450626 | Family First Home Healthcare LLC | In Home Supportive Care | 1405 Alcott St, Philadelphia, PA 19149 | 2018-06-13 |
| 1992106926 | Elena Semprevivo | Dentist | 2107 Cottman Avenue, Philadelphia, PA 19149 | 2014-09-09 |
| 1518366988 | Abundant Life Home Health Services | Home Health | 6632-46 Bustleton Ave, Philadelphia, PA 19149 | 2014-08-21 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| 1790115509 | Norman Huynh | Physical Therapist | 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 | 2013-11-14 |
| Find all providers in zip 19149 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19149 |
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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.