Active NPI
Matthew M Dugan, MD
- Pediatrics Physician
- Briarcliff Manor, NY
National Provider Identifier
1144399031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 235954
- Practice address
- 537 N State Rd
Care Mount Medical PC
Briarcliff Manor, NY 10510-1573 - Phone
- (914) 941-2129
- Fax
- (914) 941-1969
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 235954 | NY | Primary |
Addresses
Primary practice location
537 N State Rd
Care Mount Medical PC
Briarcliff Manor, NY 10510-1573
Mailing address
110 S Bedford Rd
Care Mount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144399031 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 1144399031 | Other | NY | OXFORD |
| 1144399031 | Other | NY | UNITED HEALTH CARE |
| 02560649 | Medicaid | NY | |
| 1144399031 | Other | NY | AETNA |
| 1144399031 | Other | NY | ATLANTIS HEALTH PLAN |
| 1144399031 | Other | NY | PHCS |
| 1144399031 | Other | NY | MULTIPLAN |
| 1144399031 | Other | NY | HEALTHNET |
| 1144399031 | Other | NY | UNITED HEALTH CARE/EMPIRE PLAN |
| 1144399031 | Other | NY | POMCO |
| 1144399031 | Other | NY | CIGNA |
| 1144399031 | Other | NY | MVP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235954 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of the University of Pennsylvania | Pediatrics | Past | Accepting new patients |
| Mount Kisco Medical Group | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mdugan143630@direct.optum.com
Organizations & group practices 2
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.
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- NPI 1972607257
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1144399031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BEDFORD RD",
"address_2": "CARE MOUNT MEDICAL PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493446",
"telephone_number": "914-241-1050",
"fax_number": "914-941-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 N STATE RD",
"address_2": "CARE MOUNT MEDICAL PC",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "105101573",
"telephone_number": "914-941-2129",
"fax_number": "914-941-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "MATTHEW",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "235954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02560649",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS HEALTH PLAN",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE/EMPIRE PLAN",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1144399031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "1144399031",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Briarcliff Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.