Active NPI
Brent Matza, MD
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 286944
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171215001293 | NY | Practitioner - Family Practice | 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 286944 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | 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
- brent.matza@ghuc.eclinicaldirectplus.com
- 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.
-
- Urgent Care Clinic/Center
- Bayside, NY
- NPI 1790412443
-
- Urgent Care Clinic/Center
- Norwalk, CT
- NPI 1851132831
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1730491945
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.