Jacqueline Marie Matthew

Physician Assistant · Long Branch, NJ

Individual Active NPI

NPI number 1124302484

Practice location

300 2ND Ave
Long Branch, NJ 07740-6303
Phone
(732) 222-5200

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NPI record

NPI
1124302484
Entity type
Individual (Type 1)
Enumeration date
October 5, 2011
Last updated
May 1, 2024
Certified
May 1, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 25MP00276400 NJ
Physician Assistant 363A00000X 015181 NY

Mailing address

3424 Kossuth Ave
Bronx, NY 10467-2410

Other practice locations (1)

  • 3424 Kossuth Ave, Bronx, NY 10467-2410 · (718) 519-5000

About Jacqueline Matthew

Jacqueline Marie Matthew is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 300 2ND Ave, Long Branch, NJ 07740-6303. The NPI number 1124302484 was assigned on October 5, 2011 and the record was last updated on May 1, 2024.

Jacqueline Matthew lists 2 licenses in the registry: #25MP00276400 (NJ) for Physician Assistant; #015181 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacqueline Marie Matthew?

The NPI number is 1124302484.

What is the phone number of Jacqueline Matthew?

The phone number listed for the practice location is (732) 222-5200.

Where is Jacqueline Matthew located?

300 2ND Ave, Long Branch, NJ 07740-6303.

What is the taxonomy code for Jacqueline Matthew?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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