Matthew Liciardello
Registered Nurse

Address: 1308 N Hope St Unit A, Philadelphia, PA 19122-4611
Phone: 2674323206

Matthew Liciardello (NPI# 1770186280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1770186280
Entity Type Individual
Full Name Matthew Liciardello
Gender Male
Practice Address 1308 N Hope St Unit A
Philadelphia
PA 19122-4611
Practice Telephone 2674323206
Mailing Address 1308 N Hope St Unit A
Philadelphia
PA 19122-4611
Mailing Telephone 2674323206
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-18
Last Update Date 2020-11-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 163W00000X Registered Nurse Nursing Service Providers RN641688 PA

Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Office Location

Street Address 1308 N HOPE ST UNIT A
City PHILADELPHIA
State PA
Zip Code 19122-4611

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1891232716 Alexis Bender Specialist/Technologist 1801 Broad Street, Philadelphia, PA 19122 2017-01-30
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1316307192 Vibrant Rehabilitation LLC Occupational Therapy Assistant 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 2016-03-07
1104285519 Yi Liu Occupational Therapy Assistant 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 2016-02-12
1558754580 Icare Home Health LLC Home Health 1706 N. 2nd Street, R2, Philadelphia, PA 19122 2015-03-16
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Competitor

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City PHILADELPHIA
Zip Code 19122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.