Individual provider · Type 1 NPI
Jonah Micah Mateos
Peritoneal Dialysis Registered Nurse · Edgewater, NJ
NPI number
1740884618
Active
Practice location
1150 River Rd Apt 2C
Edgewater, NJ 07020-1347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peritoneal Dialysis Registered Nurse Primary | 163WD1100X | 787603-01 (NY) |
Peritoneal Dialysis Registered Nurse: Definition to come...
About NPI 1740884618
Jonah Micah Mateos's National Provider Identifier is 1740884618, issued on Nov 22, 2020. The primary taxonomy on file is Peritoneal Dialysis Registered Nurse (163WD1100X), and the practice location is in Edgewater, NJ. The record was last updated on Nov 22, 2020.