DR. DAVID MATTOS (NPI# 1790105526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790105526 |
Entity Type | Individual |
Full Name | DR. DAVID MATTOS |
Credential | MD, MBA |
Practice Address |
999 Franklin Ave Garden City NY 11530-2913 |
Practice Telephone | 5167423404 |
Mailing Telephone | 5167423404 |
Enumeration Date | 2014-04-20 |
Last Update Date | 2020-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
301652 | NY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2200 Northern Blvd Ste 201, Greenvale, NY 115481220 | 5167423404 |
Street Address |
999 FRANKLIN AVE |
City | GARDEN CITY |
State | NY |
Zip Code | 11530-2913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386619658 | Howard L Kletter | Dentist | 999 Franklin Ave, Garden City, NY 11530-2913 | 2006-02-21 |
1811525629 | Christopher David Liao | Student in an Organized Health Care Education/Training Program | 999 Franklin Ave, Garden City, NY 11530-2913 | 2020-03-28 |
1275174724 | Victoria L Lugo | Physician Assistant | 999 Franklin Ave, Garden City, NY 11530-2913 | 2019-10-07 |
1093299000 | Jessica Pereira | Physician Assistant | 999 Franklin Ave, Garden City, NY 11530-2913 | 2018-09-17 |
1043793904 | Tiffany Cheung | Physician Assistant | 999 Franklin Ave, Garden City, NY 11530-2913 | 2018-09-07 |
1912441940 | Caileigh Allegrini | Physician Assistant | 999 Franklin Ave, Garden City, NY 11530-2913 | 2016-12-09 |
1366991754 | Rachel Rubin | Physician Assistant | 999 Franklin Ave, Garden City, NY 11530-2913 | 2016-09-26 |
1578978904 | Gina Marie Masseria | Physician Assistant | 999 Franklin Ave, Garden City, NY 11530-2913 | 2014-06-24 |
1528326634 | Irena Karanetz | Surgery | 999 Franklin Ave, Garden City, NY 11530-2913 | 2012-04-26 |
1033477377 | Finny George | Surgery | 999 Franklin Ave, Garden City, NY 11530-2913 | 2012-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
Find all providers in zip 11530 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780239590 | Rachel Susan Markow | Surgery | 229 7th St Ste 105, Garden City, NY 11530-5766 | 2019-08-08 |
1609109792 | Haritha Bodduluri Veeramachaneni | Surgery | 999 Franklin Ave, Ste. 300, Long Island Plastic Surgical Group P.c, Garden City, NY 11530 | 2009-09-08 |
1861460552 | Roger Lawrence Simpson | Surgery | 999 Franklin Avenue, Garden City, NY 11530-2913 | 2006-03-09 |
1528326634 | Irena Karanetz | Surgery | 999 Franklin Ave, Garden City, NY 11530-2913 | 2012-04-26 |
1033477377 | Finny George | Surgery | 999 Franklin Ave, Garden City, NY 11530-2913 | 2012-04-24 |
1518136027 | Jerry W Chang | Surgery | 999 Franklin Ave, Garden City, NY 11530-2913 | 2008-02-28 |
1174740401 | Noel Blythe Natoli | Surgery | 999 Franklin Avenue, Suite 300, Garden City, NY 11530 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932614658 | Artesia Plastic Surgery, Pllc | Surgery | 6044 Main St Ste 106, Williamsville, NY 14221-6883 | 2017-12-04 |
1659882843 | Scott E Newman Md PC | Surgery | 1 Odell Plz Ste 277, Yonkers, NY 10701-1402 | 2017-10-16 |
1699181354 | Gynecology On Junction, P.C. | Surgery | 4023a Junction Blvd, Second Floor, Corona, NY 11368-2123 | 2014-07-02 |
1649683905 | Dr. Fugo Plastic Surgery, P.l.l.c. | Surgery | 92 Old Route 9w, Suite 100, New Windsor, NY 12553-5485 | 2014-06-04 |
1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
1780941096 | Lauren B Shikowitz-behr | Surgery | 143 N Long Beach Rd Ste 4, Rockville Centre, NY 11570-4438 | 2012-04-12 |
1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
1093004640 | Joseph Andrew Ricci | Surgery | 1776 Eastchester Road, Division of Plastic Surgery, Second Floor, Bronx, NY 10461 | 2011-04-05 |
1407166218 | Anthony Buglino | Surgery | 40 Crossways Park Dr Ste 108, Woodbury, NY 11797-2038 | 2010-10-14 |
Find all providers with the same taxonomy |
City | GARDEN CITY |
Zip Code | 11530 |
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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.