Active NPI
Matthew Tauber, ATC,CSCS,HFI
- Athletic Trainer
- Purchase, NY
National Provider Identifier
1093140477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000132-1
- Practice address
- 735 Anderson Hill Rd
Purchase, NY 10577-1402 - Phone
- (914) 251-4430
- NPI assigned
- Sep 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000132-1 | NY | Primary |
Addresses
Primary practice location
735 Anderson Hill Rd
Purchase, NY 10577-1402
Mailing address
PO Box 633
Purchase, NY 10577-0633
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000132-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1093140477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105770633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 ANDERSON HILL RD",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105771402",
"telephone_number": "914-251-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUBER",
"first_name": "MATTHEW",
"credential": "ATC,CSCS,HFI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000132-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.