Raisa Matayev, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010414 Issued in NY

Practice address

176-60 Union Turnpike
Suite 360
Fresh Meadows, NY 11366

Phone

(718) 460-2300

Fax

(718) 460-9697

NPI assigned

Sep 29, 2006

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mercy College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Care of Queens PCGroup PAC ID 2062847692, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.78 of 100Reported as group

Quality

48.45

Promoting interoperability

71

Improvement activities

40

Cost

77.92

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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.

• Medical Care of Queens, PC

  • Hematology & Oncology Physician
  • Fresh Meadows, NY
  • NPI 1225683840
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1134211873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176-60 UNION TURNPIKE",
            "address_2": "SUITE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-460-2300",
            "fax_number": "718-460-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176-60 UNION TURNPIKE",
            "address_2": "SUITE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-460-2300",
            "fax_number": "718-460-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAYEV",
        "first_name": "RAISA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lev Y Matatov, CFO,BOCO,COTA
• Sarah Matatov
• Irina Matatova, OTR/L
• Nelya Matatova, COTA/L
• Mazal Margarita Matayev, M.A.CCC-SLP
• Sarah N Matayev, MA SLP-TSSLD
• Ella Matayeva
• Violetta Matayeva
• Kristin Elizabeth Mateiko
• Lainie Jesmarion Mateo

• Physician Assistant in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.

Verify at the official NPI Registry.