Active NPIIndividual providerSole proprietor

Ricardo Matienzo, MD

Family Medicine in Hoboken, New Jersey

NPI Number1306833660
Practice location
450 7TH St, Suite 9, Hoboken, NJ 07030-2057
Fax
201-659-4117
Last updated
September 6, 2012

Ricardo Matienzo is a Family Medicine based in Hoboken, NJ. Ricardo Matienzo practices in Hoboken, NJ and has the professional credentials of MD. The NPI Number for Ricardo Matienzo is 1306833660 and holds a License No. MA075238 (NJ). The current practice location address for Ricardo Matienzo is 450 7TH St, Suite 9, Hoboken, NJ 07030-2057 and can be reached out via phone at 201-659-0711 and via fax at 201-659-4117.

Provider Profile Details

NPI Number
1306833660
Provider Name
Ricardo Matienzo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 7TH St, Suite 9, Hoboken, NJ 07030-2057
Phone Number
201-659-0711
Fax Number
201-659-4117
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2005
Last Update Date
September 6, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 7TH St
Suite 9
Hoboken, NJ 07030-2057
Zip
07030-2057
Phone Number
201-659-0711
Fax Number
201-659-4117
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
450 7TH St
Suite 9
Hoboken, NJ 07030-2057
City
Hoboken
State
NJ
Zip
07030-2057
Phone Number
201-659-0711
Fax Number
201-659-4117

License Information

License Number
MA075238
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 Ricardo Matienzo, MD?

The NPI number of Ricardo Matienzo, MD is 1306833660. It was assigned on October 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Ricardo Matienzo, MD?

Ricardo Matienzo, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MA075238.

Where does Ricardo Matienzo, MD practice?

The practice location is 450 7TH St, Suite 9, Hoboken, NJ 07030-2057. The office can be reached at 201-659-0711 (phone) or 201-659-4117 (fax).

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 1306833660 directly on the NPPES registry website.

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