Active NPI
Matthew Stephen Hayes, D.O.
- Sports Medicine (Family Medicine) Physician
- New York, NY
National Provider Identifier
1225001993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 288256
- Practice address
- 1824 Madison Ave
New York, NY 10035-3832 - Phone
- (212) 423-4500
- Fax
- (646) 770-8405
- NPI assigned
- Feb 10, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1262 | SC | |
| Family Medicine Physician | 207Q00000X | 447 | NE | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2012-731 | NC | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 288256 | NY | Primary |
Addresses
Primary practice location
1824 Madison Ave
New York, NY 10035-3832
Mailing address
1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-731 | NC | MD | Sports Medicine (Family Medicine) Physician |
| 1262 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thoreau Clinic | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| Raleigh Family Practice, P.a. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Crownpoint, NM
- NPI 1114960093
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
-
- Non-Pharmacy Dispensing Site
- Raleigh, NC
- NPI 1255592283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1225001993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353832",
"telephone_number": "212-423-4500",
"fax_number": "646-770-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353832",
"telephone_number": "212-423-4500",
"fax_number": "646-770-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "MATTHEW",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "1262",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "447",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NC",
"license": "2012-731",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "288256",
"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 Feb 11, 2019; 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.