Individual provider Active NPI

Adriana Mateoc, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1174532782
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
245613 Issued in NY
Practice address
760 Broadway
5TH Floor, Inpatient Psychiatry
Brooklyn, NY 11206-5317
Phone
(718) 963-8692
Fax
(718) 963-5830
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 245613 NY Primary
Psychosomatic Medicine Physician 2084P0015X 245613 NY

Addresses

Primary practice location

760 Broadway
5TH Floor, Inpatient Psychiatry
Brooklyn, NY 11206-5317

Mailing address

760 Broadway
5TH Floor, Inpatient Psychiatry
Brooklyn, NY 11206-5317
Phone (718) 963-8692

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000452 NY Practitioner - Psychiatry 4183813199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Healthcare Services P.C.Group PAC ID 7012185366, 16 clinicians

Practice addresses (Care Compare)

157 E 72ND St
Ofc H
New York, NY 10021-4333
Phone (718) 239-0030

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
67.92
Improvement activities
40
Cost
65.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
245613NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System Psychiatry CurrentSince Jul 3, 2017 Accepting new patients
Medical Healthcare Services P.C. Psychiatry CurrentSince Aug 15, 2021 Accepting new patients
Bronxcare Health System CurrentSince Jul 3, 2017 Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1174532782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "address_2": "5TH FLOOR, INPATIENT PSYCHIATRY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-8692",
            "fax_number": "718-963-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "address_2": "5TH FLOOR, INPATIENT PSYCHIATRY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-8692",
            "fax_number": "718-963-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEOC",
        "first_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "245613",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "245613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.