MR. MATTHEW MATTONE (NPI# 1467427229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467427229 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW MATTONE |
| Credential | MS,APRN,BC-ANP |
| Practice Address |
100 Southern Blvd Nesconset NY 11767-1749 |
| Practice Telephone | 6313618800 |
| Practice Fax Number | 6313663462 |
| Mailing Telephone | 6313618800 |
| Mailing Fax Number | 6314703803 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2009-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F301752-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02654355 | 05 |
| Street Address |
100 SOUTHERN BLVD |
| City | NESCONSET |
| State | NY |
| Zip Code | 11767-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773411 | Albert Vonurban | Physical Therapy Assistant | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2019-05-01 |
| 1518485952 | Nesconset Operating LLC | Skilled Nursing Facility | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2017-09-06 |
| 1194260562 | Gregory P. Bustamante | Occupational Therapist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2016-12-21 |
| 1205378726 | Lauretta Jane Sauer | Physical Therapist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2016-11-15 |
| 1215385307 | Stacey L Pamlanye | Occupational Therapist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2016-05-30 |
| 1477928026 | Stephanie Coles | Occupational Therapist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2015-12-08 |
| 1538530431 | Kimberly Decanio | Occupational Therapist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2015-10-18 |
| 1538535547 | Jamie Mackey | Physical Therapist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2015-08-12 |
| 1568840122 | Ciara Alix Waters | Occupational Therapist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2015-05-14 |
| 1861791527 | Rachel Shishov | Speech-Language Pathologist | 100 Southern Blvd, Nesconset, NY 11767-1749 | 2011-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183877 | Robert Walter Hickey | Pharmacist | 115 Sheppard Ln, Nesconset, NY 11767 | 2017-06-08 |
| 1730621517 | James Remien | Massage Therapist | 62 Lake Ave South, Suite C, Nesconset, NY 11767 | 2016-11-10 |
| 1063788578 | Stacy Lynne Heuschneider | Nurse Practitioner | 48 Locust Drive, Nesconset, NY 11767 | 2012-03-29 |
| 1538485511 | Christina Ferlise-clark | Social Worker | 206 Nichols Rd, Nesconset, NY 11767 | 2010-04-15 |
| 1982843017 | Sharon Frances Devivo | Registered Nurse | 45 Rockey Point Road, Middle Island, NY 11767 | 2009-02-12 |
| 1649429523 | Justin Tate | Occupational Therapist | 14 Suburban Lane, Nesconset, NY 11767 | 2008-09-16 |
| 1386801520 | Helene Ann Hopkins Farley | Registered Nurse | 65 Tiffany Way, Nesconset, NY 11767 | 2008-05-16 |
| 1992978456 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 200 A Gibbs Pond Rd, Nesconset, NY 11767 | 2008-04-07 |
| 1205019403 | Sherrie Glasser Physical Therapy/john Douglas Pta | Specialist | 5 Browns Rd, Nesconset, NY 11767 | 2007-12-11 |
| 1710109665 | Chiropractic Associates of Long Island PC | Chiropractor | 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 | 2007-05-02 |
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| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205805 | Debra Giulietti | Nurse Practitioner | 81 Steuben Blvd, Nesconset, NY 11767-3038 | 2020-08-13 |
| 1457865479 | Marie Care Np In Adult Health P.c | Nurse Practitioner | 22 Southern Blvd Ste 106, Nesconset, NY 11767-1086 | 2017-11-29 |
| 1063788578 | Stacy Lynne Heuschneider | Nurse Practitioner | 48 Locust Drive, Nesconset, NY 11767 | 2012-03-29 |
| 1881714244 | Darlene Joan Paduano | Nurse Practitioner | 57 Southern Blvd, Suite 1, Nesconset, NY 11767-1091 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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| 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.