| Matthew J. Pitera, M.d, P.a | |
|
222 Oak Ave Suite 2 Toms River NJ 08753-3348 | |
| (732) 244-6626 | |
| (732) 244-6623 |
| Full Name | Matthew J. Pitera, M.d, P.a |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 222 Oak Ave, Toms River, New Jersey |
| Authorized Official Name and Position | Matthew Joseph Pitera (OWNER) |
| Authorized Official Contact | 7322446626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J. Pitera, M.d, P.a 222 Oak Ave Suite 2 Toms River NJ 08753-3348 Ph: (732) 244-6626 | Matthew J. Pitera, M.d, P.a 222 Oak Ave Suite 2 Toms River NJ 08753-3348 Ph: (732) 244-6626 |
| NPI Number | 1194892687 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173627767 |
|---|---|
| Medicare Enrollment ID | O20070410000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194892687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA59605 (New Jersey) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MA59605 (New Jersey) | Primary |
| Provider Name | Matthew J Pitera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225097702 PECOS PAC ID: 9436111077 Enrollment ID: I20041029000148 |
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