DR. MATTHEW JOSEPH MODUGNO (NPI# 1841785011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841785011 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOSEPH MODUGNO |
| Credential | DPM |
| Practice Address |
130 S Bryn Mawr Ave Bryn Mawr PA 19010-3121 |
| Mailing Address |
301 Washington St Apt 1225 Conshohocken PA 19428-1987 |
| Practice Telephone | 4843373052 |
| Practice Fax Number | 4843374638 |
| Mailing Telephone | 8037196778 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006929 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
130 S BRYN MAWR AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589459 | William H Pfeffer | Obstetrics & Gynecology | 130 S Bryn Mawr Ave, Suite 1000 D Wing, Bryn Mawr, PA 19010-3121 | 2005-06-27 |
| 1013525740 | Elizabeth Ferber Lindvig | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 | 2020-07-20 |
| 1578171484 | Vincent Anthony Migliori | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-07-16 |
| 1013532282 | Daniel Kim | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1083239206 | Zachariah Taylor | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1124666953 | Julianne Keller Kwiatkowski | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-12-11 |
| 1457993974 | Lee A Petroski | Physical Therapist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-16 |
| 1013559871 | Amber Brooke Lallo | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-14 |
| 1023661352 | Stephanie Nicole Libes | Nurse Practitioner | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-07-16 |
| 1386205839 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525740 | Elizabeth Ferber Lindvig | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 | 2020-07-20 |
| 1578171484 | Vincent Anthony Migliori | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-07-16 |
| 1952957482 | Pace Foot and Ankle Centers Pllc | Podiatrist | 931 E Haverford Rd Fl 3, Bryn Mawr, PA 19010-3838 | 2019-08-12 |
| 1750876900 | Abbey Lynn Boyd | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2018-06-28 |
| 1053806232 | Christopher Ryan Fung | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2018-06-28 |
| 1558882126 | Nikki Migliori | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2017-07-04 |
| 1053832063 | Sarah Elizabeth Morrison | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2017-06-29 |
| 1447632294 | Michael Baloga | Podiatrist | 130 S Bryn Mawr Ave, 3rd Floor H Wing, Bryn Mawr, PA 19010-3121 | 2015-06-28 |
| 1518349430 | Paxon Riding | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2015-06-27 |
| 1558772962 | Ashley Fought | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2014-05-20 |
| Find all providers in BRYN MAWR | ||||
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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.