DIANA MATARI


Address: 75 N Country Rd, Port Jefferson, NY 11777-2119
Phone: 6314731320

DIANA MATARI (NPI# 1477029585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477029585
Entity Type Individual
Full Name DIANA MATARI
Credential PA-C
Practice Address 75 N Country Rd
Port Jefferson
NY 11777-2119
Mailing Address 1875 Wisteria Cir
Bellport
NY 11713-3060
Practice Telephone 6314731320
Enumeration Date 2018-10-16
Last Update Date 2018-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 022827 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 75 N COUNTRY RD
City PORT JEFFERSON
State NY
Zip Code 11777-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093718728 John T. Mather Memorial Hospital Psychiatric Unit 75 N Country Rd, Port Jefferson, NY 11777-2119 2005-05-27
1124633169 Ewelina Mieczkowska Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-09-15
1114546652 Kelly Miller Registered Nurse 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-14
1194344143 John Lotfi Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-10
1669001897 Robert Franklin Wilson Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-08
1245868611 Tia Bimal Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-31
1427686203 Aakash Babaria Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-29
1821626789 Anjali Kewalramani Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-27
1578190591 Joon Oh Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2190 2020-03-27
1871121848 Sonali Nanda Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568088615 Aqsa Ashraf Student in an Organized Health Care Education/Training Program 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 2020-06-24
1366068975 Manal Ahmad Student in an Organized Health Care Education/Training Program 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 2020-06-19
1639794555 Umair Ahmad Ansari Student in an Organized Health Care Education/Training Program 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 2020-06-16
1578188132 Manasi Sule Student in an Organized Health Care Education/Training Program 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 2020-06-10
1508480716 Imona Subedi Student in an Organized Health Care Education/Training Program 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 2020-06-03
1184252108 Romana Imtiaz Syed Student in an Organized Health Care Education/Training Program Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 2020-03-27
1649807348 Mustafa Mohammed Abdulsada Student in an Organized Health Care Education/Training Program 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 2020-03-24
1184264764 Girma Moges Gamme Surgery 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 2020-01-10
1811554637 Kausar Ali Nurse Practitioner 408 Thompson Street, Port Jefferson, NY 11777 2019-05-28
1073097531 Ministry for Hope, Inc. Montfort Therapeutic Residence Residential Treatment Facility, Physical Disabilities 100 Stonyhill Road, Port Jefferson, NY 11777 2018-09-20
Find all providers in zip 11777

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255806501 Christopher Sorce Physician Assistant 635 Belle Terre Rd Ste 204, Port Jefferson, NY 11777-1977 2018-10-12
1699928846 Palakkumar B Patel Physician Assistant 60 N Country Rd Ste 203, Port Jefferson, NY 11777-2188 2008-11-01
1013106715 Christie Lee Cotty Physician Assistant 200 Belle Terre Rd #110, Port Jefferson, NY 11777 2007-10-18
1760529994 John Joseph Woehrle Physician Assistant 645 Belle Terre Rd Apt 93, Port Jefferson, NY 11777-1944 2007-01-30
1124633169 Ewelina Mieczkowska Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-09-15
1356983449 Joseph Francis Byrne Physician Assistant 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 2019-10-10
1073080768 Francis Richard Sicari Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2018-10-31
1043792492 Matthew Delph Physician Assistant 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 2018-09-02
1588167456 Giancarlo Garcia Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2018-03-16
1043751845 Casey Ward Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2017-03-13
Find all providers in PORT JEFFERSON

Competitor

Search similar providers

City PORT JEFFERSON
Zip Code 11777

Improve Information

Please comment or provide details below to improve the information on DIANA MATARI.

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.

Trending Searches