Active NPIIndividual providerSole proprietor

Mr. Matthew R Newsome, LAT, ATC

Specialist/Technologist, Athletic Trainer in Petersburg, New Jersey

NPI Number1033545355
Practice location
5 Lindsay Lane, Petersburg, NJ 08270
Fax
—
Last updated
September 18, 2013

Matthew Ryan Newsome is a Specialist/Technologist, Athletic Trainer based in Petersburg, NJ. Matthew Ryan Newsome practices in Petersburg, NJ and has the professional credentials of LAT, ATC. The NPI Number for Matthew Ryan Newsome is 1033545355 and holds a License No. RT005402 (PA). The current practice location address for Matthew Ryan Newsome is 5 Lindsay Lane, Petersburg, NJ 08270 and can be reached out via phone at 609-289-2115.

Provider Profile Details

NPI Number
1033545355
Provider Name
Matthew Ryan Newsome
Credential
LAT, ATC
Provider Entity Type
Individual
Gender
Male
Address
5 Lindsay Lane, Petersburg, NJ 08270
Phone Number
609-289-2115
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
September 18, 2013
Last Update Date
September 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Lindsay Lane
Petersburg, NJ 08270
Zip
08270
Phone Number
609-289-2115
Petersburg, NJ 08270Get directions →

Provider Business Mailing Address Details

Address
5 Lindsay Lane
Petersburg, NJ 08270
City
Petersburg
State
NJ
Zip
08270

License Information

License Number
RT005402
License State
PA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew R Newsome, LAT, ATC?

The NPI number of Mr. Matthew R Newsome, LAT, ATC is 1033545355. It was assigned on September 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew R Newsome, LAT, ATC?

Mr. Matthew R Newsome, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in PA under license number RT005402.

Where does Mr. Matthew R Newsome, LAT, ATC practice?

The practice location is 5 Lindsay Lane, Petersburg, NJ 08270. The office can be reached at 609-289-2115 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033545355 directly on the NPPES registry website.

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