Eugenio Cruz Mateo, MD,MPH&TM

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

161471 Issued in NY

Practice address

125 White St
New York, NY 10013-4497

Phone

(212) 225-1482

Fax

(212) 225-1489

NPI assigned

Jul 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1093945123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134497",
            "telephone_number": "212-225-1482",
            "fax_number": "212-225-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WHITE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134497",
            "telephone_number": "212-225-1482",
            "fax_number": "212-225-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "EUGENIO",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "credential": "MD,MPH&TM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "161471",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NJ",
            "license": "25MA04562700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Mate, LMSW
• Svetlana Cristiana Matei, MD
• Alexander Thomas Matelski, MD
• Anna Mateo-Jerez, PHARM.D.
• Amelia Mateo
• Indhy Stephany Mateo
• Jessica Mateos, MSW
• Cristina Matera, MD
• Mary Jo Matera, MSW
• Gabriela Materassi

• Public Health & General Preventive Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.