Provider Demographics
NPI:1144617887
Name:ONA, MATTHEW BENEDICT (APN)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:BENEDICT
Last Name:ONA
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-2310
Mailing Address - Country:US
Mailing Address - Phone:732-306-2237
Mailing Address - Fax:
Practice Address - Street 1:615 HOPE RD
Practice Address - Street 2:BLDG 5 VISITING PHYSICIAN SERVICES
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1277
Practice Address - Country:US
Practice Address - Phone:732-571-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13771700163W00000X
NJ26NJ00567000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse