Provider Demographics
NPI:1003971862
Name:DRS. MATZO AND ROSENHECK, LLC
Entity Type:Organization
Organization Name:DRS. MATZO AND ROSENHECK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENHECK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:732-780-0088
Mailing Address - Street 1:2220 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3333
Mailing Address - Country:US
Mailing Address - Phone:732-780-0088
Mailing Address - Fax:
Practice Address - Street 1:2220 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3333
Practice Address - Country:US
Practice Address - Phone:732-780-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA 04687152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ087034Medicare ID - Type Unspecified