KEREN MATVEEV (NPI# 1649628728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649628728 |
| Entity Type | Individual |
| Full Name | KEREN MATVEEV |
| Credential | D.O. |
| Practice Address |
75 Third Avenue First Floor Waltham MA 02451 |
| Mailing Address |
200 Estate Dr Apt 206 Chestnut Hill MA 02467-3539 |
| Practice Telephone | 7812900100 |
| Mailing Telephone | 6173194887 |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 281587 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, Nyu Langone Medical Center, New York, NY 100166402 | 2122635506 |
| Street Address |
75 THIRD AVENUE FIRST FLOOR |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1316315302 | Caroline Palleschi | Social Worker | 230 2nd Ave Ste 125, Waltham, MA 02451 | 2015-09-08 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518059401 | John David Hackett | Family Medicine | 9 Hope Aveneu, 153, Waltham, MA 02453 | 2006-09-28 |
| 1659470839 | Julie E Caruth | Family Medicine | 564 Main Street, Joseph M. Smith Community Health Center, Waltham, MA 02452 | 2006-09-22 |
| 1255323747 | Shenbagam Dewar | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2005-08-19 |
| 1992157176 | Teryn Gorgone | Family Medicine | 130 2nd Ave, Waltham, MA 02451-1100 | 2016-07-12 |
| 1831519644 | Brittanie Dillon | Family Medicine | 9 Hope Avenue, Suite 151, Waltham, MA 02453 | 2014-04-18 |
| 1720346737 | Ilana Ambrogi | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2012-04-26 |
| 1821254046 | Ekaterina Brodski-quigley | Family Medicine | 1030 Main St, Waltham, MA 02451-7447 | 2008-08-07 |
| 1720147895 | Kamau Karanja | Family Medicine | 564 Main St, Waltham, MA 02452-5516 | 2006-12-06 |
| 1477563377 | Waltham Family Practice, PC | Family Medicine | 9 Hope Ave, 1st Floor, Waltham, MA 02453-2741 | 2006-08-09 |
| 1407814338 | Sean A Andrews | Family Medicine | 32 South St, Suite 300, Waltham, MA 02453-3594 | 2006-05-02 |
| Find all providers in WALTHAM | ||||
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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.