Matthew M Carlin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

236000 Issued in NY

Practice address

1815 S Clinton Avenue
BLDG 300 Ste 310
Rochester, NY 14618

Phone

(585) 473-3535

Fax

(585) 473-1837

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: matthewcarlinmd@twelvecornerspediatrics.medentdirect.com

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

• Twelve Corners Pediatrics, LLP

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1568553279
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013942499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVENUE",
            "address_2": "BLDG 300 STE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-473-3535",
            "fax_number": "585-473-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVENUE",
            "address_2": "BLDG 300 STE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-473-3535",
            "fax_number": "585-473-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "236000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02676502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaya P Carl, DDS
• Erika Carle, FNP
• Alison Farr Carletta, F.N.P.
• Karin Kristina Carlevatti, COTA
• Jacqueline Carlin, LPN
• Antonino Carlino, DC
• Christopher James Carlisi
• Lacey Carlock
• Barbara Carlson, LPN
• Beth L. Carlson, RPA-C

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.