Active NPI
Matthew Joseph Gianetto, FNP-C
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F337384-1
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 090401-23 | NH | MD | Family Nurse Practitioner |
| F337384-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners Medical Group, PLLC | Current | Accepting new patients | |
| Mobile Physician Services PLLC | Current | Accepting new patients | |
| Care Connect Medical P.C. | Current | Accepting new patients | |
| Physician Mobile Medical Care PC | Current | Accepting new patients | |
| Geriatric & Palliative Specialist PC | Current | Accepting new patients | |
| One Medical of Ny, P.C. | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Past | 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.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1194132415
-
- Geriatric Medicine (Internal Medicine) Physician
- Getzville, NY
- NPI 1184305153
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1518765502
-
- General Practice Physician
- Tarrytown, NY
- NPI 1457032328
-
- Geriatric Medicine (Internal Medicine) Physician
- Oswego, NY
- NPI 1558796243
-
- Skilled Nursing Facility
- Baldwinsville, NY
- NPI 1396742482
-
- Family Medicine Physician
- New York, NY
- NPI 1528538774
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.