Active NPIIndividual provider

Mr. Matthew Mccullough, CRNA

Nurse Anesthetist, Certified Registered in Somerset, New Jersey

NPI Number1629135538
Practice location
285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153
Fax
732-271-3544
Last updated
January 7, 2017

Matthew Mccullough is a Nurse Anesthetist, Certified Registered based in Somerset, NJ. Matthew Mccullough practices in Somerset, NJ and has the professional credentials of CRNA. The NPI Number for Matthew Mccullough is 1629135538 and holds a License No. 26NJ002224000 (NJ). The current practice location address for Matthew Mccullough is 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 and can be reached out via phone at 732-271-1400 and via fax at 732-271-3544.

Provider Profile Details

NPI Number
1629135538
Provider Name
Matthew Mccullough
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153
Phone Number
732-271-1400
Fax Number
732-271-3544
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
January 2, 2007
Last Update Date
January 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153
Zip
08873-4153
Phone Number
732-271-1400
Fax Number
732-271-3544
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153
City
Somerset
State
NJ
Zip
08873-4153
Phone Number
732-271-1400
Fax Number
732-271-3544

License Information

License Number (1)
26NJ002224000
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ00222400
License State (2)
NJ
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · 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 Mccullough, CRNA?

The NPI number of Mr. Matthew Mccullough, CRNA is 1629135538. It was assigned on January 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew Mccullough, CRNA?

Mr. Matthew Mccullough, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NJ002224000.

Where does Mr. Matthew Mccullough, CRNA practice?

The practice location is 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153. The office can be reached at 732-271-1400 (phone) or 732-271-3544 (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 1629135538 directly on the NPPES registry website.

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