Individual provider Active NPI

Matthew Joseph Gianetto, FNP-C

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1205184512
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337384-1 Issued in NY
Practice address
30 Broad St FL 45
New York, NY 10004-2942
Phone
(212) 530-0630
NPI assigned
Aug 16, 2012
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 090401-23 NH
Family Nurse Practitioner 363LF0000X F337384-1 NY Primary

Addresses

Primary practice location

30 Broad St FL 45
New York, NY 10004-2942

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

132 Cayuga Rd
Cheektowaga, NY 14225-1942
Phone (716) 204-9711

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000348 NY Practitioner - Nurse Practitioner 8123270261 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians
Partners Medical Group PLLCGroup PAC ID 5092155937, 35 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

6400 Powers Rd
Orchard Park, NY 14127-4841
Phone (914) 843-9637

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
090401-23NHMDFamily Nurse Practitioner
F337384-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Medical Group, PLLC CurrentSince Jun 12, 2024 Accepting new patients
Mobile Physician Services PLLC CurrentSince Nov 19, 2025 Accepting new patients
Care Connect Medical P.C. CurrentSince Aug 20, 2025 Accepting new patients
Physician Mobile Medical Care PC CurrentSince Nov 19, 2025 Accepting new patients
Geriatric & Palliative Specialist PC CurrentSince Oct 22, 2019 Accepting new patients
One Medical of Ny, P.C. CurrentSince May 29, 2022 Accepting new patients
Mount Sinai School of Medicine PastSince May 29, 2022 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

100 Stahl Rd
Getzville, NY 14068
Phone (716) 688-8822

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

30 Broad St
Fl 45
New York, NY 10004
Phone (212) 530-0630

6400 Powers Rd
Orchard Park, NY 14127
Phone (716) 667-0001

101 W Utica St
Ste C
Oswego, NY 13126
Phone (315) 216-4641

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1205184512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BROAD ST FL 45",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042942",
            "telephone_number": "212-530-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Cayuga Rd",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142251942",
            "country_code": "US",
            "telephone_number": "716-204-9711",
            "fax_number": "716-204-9716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANETTO",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "090401-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337384-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.