Individual provider Active NPI

Brent Matza, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1033435128
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
286944 Issued in NY
Practice address
225 W 23Rd St
New York, NY 10011-2300
Phone
(212) 897-1994
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 286944 NY Primary

Addresses

Primary practice location

225 W 23Rd St
New York, NY 10011-2300

Mailing address

309 5TH Ave Apt 35C
New York, NY 10016-6555
Phone (203) 671-0056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, MI, NE, OR, FL, CA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20171215001293 NY Practitioner - Family PracticePractitioner - Emergency Medicine 7214295484 Reassigns benefits to 2 organizations
I20260421001272 TX Practitioner - Family Practice 7214295484 Reassigns benefits to 1 organization
I20260428001991 MI Practitioner - Family Practice 7214295484 Reassigns benefits to 1 organization
I20260501001738 NE Practitioner - Family Practice 7214295484 Reassigns benefits to 1 organization
I20260512004121 OR Practitioner - Family Practice 7214295484 Reassigns benefits to 1 organization
I20260604000952 FL Practitioner - Family Practice 7214295484 Reassigns benefits to 1 organization
I20260608003892 CA Practitioner - Family Practice 7214295484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLC 658 clinicians

Practice addresses (Care Compare)

1150 3Rd Ave
New York, NY 10065-5913
Phone (212) 933-0007

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
286944NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Nov 29, 2021 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 29, 2021 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

1150 3rd Ave
New York, NY 10065
Phone (212) 722-3672

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: brent.matza@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: brent.matza.1@2983.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1033435128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 5TH AVE APT 35C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166555",
            "telephone_number": "203-671-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112300",
            "telephone_number": "212-897-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZA",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "286944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.