MATTHEW ANTHONY PETTORUTO
NPI 1801680335
Student in an Organized Health Care Education/Training Program in Wilmington, DE

Active since April 08, 2025PECOS Enrolled
501 W 14TH ST, WILMINGTON, DE 19801(302) 733-1000 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Anthony Pettoruto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW ANTHONY PETTORUTO (NPI 1801680335) is an individual student in an organized health care education/training program in Wilmington, Delaware and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801680335
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW ANTHONY PETTORUTO
Location Address501 W 14TH STWilmington, DE 19801-1013
Mailing Address611 Kensington DrLincoln University, PA 19352-1116
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
NPI 1801680335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

501 W 14TH ST, Wilmington, DE 19801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Anthony Pettoruto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
501 W 14TH ST
WILMINGTON, DE 19801
Psychologist
501 W 14TH ST
WILMINGTON, DE 19801
Psychologist
501 W 14TH ST, 6TH FLOOR
WILMINGTON, DE 19801
Psychiatry & Neurology (Psychiatry)
501 W 14TH ST, WILMINGTON HOSPITAL
WILMINGTON, DE 19801
Psychiatry & Neurology (Psychiatry)
501 W 14TH ST, WILMINGTON HOSPITAL
WILMINGTON, DE 19801
Psychologist
501 W 14TH ST, WILMINGTON HOSPITAL
WILMINGTON, DE 19801
Pediatrics
501 W 14TH ST, WILMINGTON HOSPITAL, DEPT OF PEDIATRICS
WILMINGTON, DE 19801
Psychiatry & Neurology (Psychiatry)
501 W 14TH ST, 3RD FLOOR
WILMINGTON, DE 19801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801680335, enumerated as an "individual" on April 08, 2025.

The provider is located at 501 W 14TH ST WILMINGTON, DE 19801 and the phone number is (302) 733-1000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.