MAT MEDICAL ASSOCIATES, P.C. (NPI# 1891318754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891318754 |
| Entity Type | Organization |
| Organization Name | MAT MEDICAL ASSOCIATES, P.C. |
| Practice Address |
565 Route 25a Ste 4 Miller Place NY 11764-2663 |
| Practice Telephone | 6318494777 |
| Practice Fax Number | 8339790963 |
| Mailing Telephone | 6318494777 |
| Mailing Fax Number | 8339790963 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | DR. DAVID M MARGULIES (PRESIDENT) |
| Authorized Official Telephone | 6318494777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5507 Nesconset Hwy Suite 10 Pmb 180, Mount Sinai, NY 11766 | 6318047542 | 6313649379 |
| Street Address |
565 ROUTE 25A STE 4 |
| City | MILLER PLACE |
| State | NY |
| Zip Code | 11764-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689151870 | Jjr Lifecare Inc | In Home Supportive Care | 85 Echo Ave., Suite 5, Miller Place, NY 11764 | 2018-07-20 |
| 1447782172 | Xuxin Zhang | Dentist | 555 Ny-25a, Miller Place, NY 11764 | 2017-03-31 |
| 1679972202 | Tara Daniels | Social Worker | 595-20 Route 25a, Suite 20, Miller Place, NY 11764 | 2014-08-20 |
| 1063858355 | Karen Ann Mcnulty | Specialist | 16 White Birch Circle, Miller Place, NY 11764 | 2013-05-14 |
| 1689918070 | Katja Mercado | Speech-Language Pathologist | 3 Honey Lane, Miller Place, NY 11764 | 2012-11-26 |
| 1447526967 | North Isle Chiropractic PC | Chiropractor | 93 Miller Place Rd., Miller Place, NY 11764 | 2012-03-29 |
| 1235404039 | Divine Chiropractic LLC | Chiropractor | 465 Route 25a, Suite 1, Miller Place, NY 11764 | 2012-03-13 |
| 1124338611 | Lisa Aitken | Social Worker | 15 Memorial Drive, Miller Place, NY 11764 | 2010-10-18 |
| 1659504876 | Janet Lynn Karp | Speech-Language Pathologist | 36 Samuels Path, Miller Place, NY 11764 | 2009-09-04 |
| 1356577589 | Marilee Somerville | Physical Therapist | 36 Sweetgum Ln, Miller Place, NY 11764 | 2009-06-02 |
| Find all providers in zip 11764 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1215009337 | Karl Sheridan Bean | General Practice | 54 N Country Rd, Suite 1, Miller Place, NY 11764-1409 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| 1750939914 | Paul Clement Yonkers | General Practice | 13g Essex Pl, Yorktown Heights, NY 10598-1619 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | MILLER PLACE |
| Zip Code | 11764 |
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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.