Healthcare Provider Details

I. General information

NPI: 1174453252
Provider Name (Legal Business Name): MATTHEW MATTURRO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WATSESSING AVE
BLOOMFIELD NJ
07003-4613
US

IV. Provider business mailing address

6 BECKER FARM RD APT 337
ROSELAND NJ
07068-0049
US

V. Phone/Fax

Practice location:
  • Phone: 973-680-1001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00796600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: