Active NPIIndividual provider

Brooke C Matus, PA

Physician Assistant in Geneva, New York

NPI Number1144955352
Practice location
1150 State Route 5 And 20, Geneva, NY 14456-9543
Fax
—
Last updated
July 21, 2022

Brooke Clarinda Matus is a Physician Assistant based in Geneva, NY. Brooke Clarinda Matus practices in Geneva, NY and has the professional credentials of PA. The NPI Number for Brooke Clarinda Matus is 1144955352. The current practice location address for Brooke Clarinda Matus is 1150 State Route 5 And 20, Geneva, NY 14456-9543 and can be reached out via phone at 315-789-5758.

Provider Profile Details

NPI Number
1144955352
Provider Name
Brooke Clarinda Matus
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1150 State Route 5 And 20, Geneva, NY 14456-9543
Phone Number
315-789-5758
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2022
Last Update Date
July 21, 2022
Certification Date
July 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1150 State Route 5 And 20
Geneva, NY 14456-9543
City
Geneva
Zip
14456-9543
Phone Number
315-789-5758
Geneva, NY 14456Get directions →

Provider Business Mailing Address Details

Address
17 Webster St
Newport, RI 02840-4030
City
Newport
State
RI
Zip
02840-4030

License Information

Taxonomy
Physician Assistant · 363A00000X · 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 Brooke C Matus, PA?

The NPI number of Brooke C Matus, PA is 1144955352. It was assigned on July 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Brooke C Matus, PA?

Brooke C Matus, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Brooke C Matus, PA practice?

The practice location is 1150 State Route 5 And 20, Geneva, NY 14456-9543. The office can be reached at 315-789-5758 (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 1144955352 directly on the NPPES registry website.

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