Individual provider Active NPI

Richard John Matteo, DC

  • Chiropractor
  • College Point, NY
National Provider Identifier
1013903814
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NY005372 Issued in NY
Practice address
12910 23Rd Ave
College Point, NY 11356-2710
Phone
(718) 463-1166
Fax
(718) 463-1081
NPI assigned
Sep 27, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NY005372 NY Primary

Addresses

Primary practice location

12910 23Rd Ave
College Point, NY 11356-2710

Mailing address

12910 23Rd Ave
College Point, NY 11356-2710
Phone (718) 463-1166

Other identifiers 4

IdentifierTypeStateIssuer
0022861OtherNYGHI/MC
5372-OBOtherNYNYS WC
P780748OtherNYOXFORD
0905690OtherNYAETNA/USHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY005372NYMDChiropractor
005372NYMDMassage Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013903814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 23RD AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562710",
            "telephone_number": "718-463-1166",
            "fax_number": "718-463-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 23RD AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562710",
            "telephone_number": "718-463-1166",
            "fax_number": "718-463-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEO",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "NY005372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/MC",
            "identifier": "0022861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WC",
            "identifier": "5372-OB",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P780748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC",
            "identifier": "0905690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.