MEDICARE: MATTHEW STUART AUSTIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	307193	NY
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	25MA07688400	NJ
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	MD071927L	PA
4	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	ME152687	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2313094000	OTHER	PA	IBC
2	6848606	OTHER		CIGNA
3	1175701	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1518914886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW STUART AUSTIN M.D.

Provider Business Mailing Address
First Line	:	840 HARRITON RD
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-1813
Country	:	US
Telephone Number	:	215-219-9449
Fax Number	:

Provider Business Practice Location Address
First Line	:	523 E 72ND ST FL 7
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4099
Country	:	US
Telephone Number	:	212-606-1227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	03/04/2024

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Directions to “ MATTHEW STUART AUSTIN M.D.” Practice Location

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