Mark Mattie, M.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

042422 Issued in CT

Practice address

1950 Litchfield Tpke
Woodbridge, CT 06525-1200

Phone

(203) 387-5564

NPI assigned

Mar 20, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Practice roles

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.

• University of Bridgeport

  • Dental Clinic/Center
  • Bridgeport, CT
  • NPI 1457493728
  NPD (past)
• University of Bridgeport D/B/a Health Sciences Center

  • Naturopath
  • Bridgeport, CT
  • NPI 1477795235
  NPD (past)

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1144647769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LAFAYETTE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066047719",
            "telephone_number": "203-576-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LITCHFIELD TPKE",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251200",
            "telephone_number": "203-387-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CT",
            "license": "042422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynne Martin, OTR/L
• Kristina L Martini, OTR/L
• Mary Beth Sutter, LCSW, LLC
• Kaitlynn Ann Mascia
• Nicole Masciarelli, MS, SLP
• Jodi Mazaleski, BCBA
• Irene McKenna
• Medical Oncology & Hematology, PC
• Meet Me There Clinical Counseling LLC
• Luke Melsenti, DC

• Anatomic Pathology Physician in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Anatomic Pathology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.