Matthew C. Hausserman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059001 Issued in NY

Practice address

340 Madison Ave RM 4C
New York, NY 10173-1909

Phone

(917) 217-3179

NPI assigned

Aug 28, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• MH Dental Downtown PLLC

  • Dental Clinic/Center
  • Astoria, NY
  • NPI 1942077706
  NPD Authorized official

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1194125039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MADISON AVE RM 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101731909",
            "telephone_number": "917-217-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MADISON AVE RM 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101731909",
            "telephone_number": "917-217-3179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Landstuhl Dental Activity HQ",
            "address_2": "Marceau Kaserne Bldg 3703, Rm 205",
            "address_purpose": "LOCATION",
            "city": "Lanstuhl",
            "state": "Kirchberg",
            "postal_code": "09180",
            "country_code": "DE",
            "telephone_number": "06371929130",
            "country_name": "Germany",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "HAUSSERMAN",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059001",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02572300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lionel Glen Hausman, D.P.M.
• Michael Hausman, MD
• Rebecca Hausman
• Sanford A. Hausman, M.D.
• Shari Lynn Hausman, OD
• Danielle Breanne Haussner, MD
• Therese Haussner
• William Kevin Haussner, MD
• Anais Hausvater, M.D.
• Nicole Stephanie Havas

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.