Healthcare Provider Details

I. General information

NPI: 1104748342
Provider Name (Legal Business Name): MR. MATTHEW JOSEPH FERRANTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 HARDING HWY
CARNEYS POINT NJ
08069-2344
US

IV. Provider business mailing address

3 ADAMS AVE
BELLMAWR NJ
08031-2816
US

V. Phone/Fax

Practice location:
  • Phone: 856-299-9229
  • Fax:
Mailing address:
  • Phone: 856-299-9229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number46TA09268200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: