# MATHENY SCHOOL AND HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matheny Medical and Educational Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730142084
- **Authorized official:** MR. STEVEN PROCTOR (PRESIDENT)
- **Authorized official phone:** (908) 234-0011

## Contact information

- **Practice address:** 1467 HIGHLAND AVENUE, PEAPACK, NJ 07977
- **Practice address phone:** (908) 234-0011
- **Practice address fax:** (908) 234-9496
- **Mailing address:** PO BOX 339, PEAPACK, NJ 07977
- **Mailing address phone:** (908) 234-0011
- **Mailing address fax:** (908) 234-9496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21801 | NJ | Yes |

## Other

- **Enumeration date:** 04/08/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8620709 | — | NJ |