Active NPI
Matthew Drago, MD
- Neonatal-Perinatal Medicine Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 56602
- Practice address
- 1 Park St # WP4
New Haven, CT 06504-8901 - Phone
- (203) 785-4081
- Fax
- (203) 688-5426
- NPI assigned
- Jun 6, 2011
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT199142 | PA | |
| Pediatrics Physician | 208000000X | 276995-1 | NY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 276995-1 | NY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 56602 | CT | Primary |
Addresses
Primary practice location
1 Park St # WP4
New Haven, CT 06504-8901
Mailing address
1 Park St # WP4
New Haven, CT 06504-8901
Phone (203) 785-4081
Other practice location 1
365 Montauk Ave
New London, CT 06320-4700
Phone (203) 785-4081
Other practice location 2
3959 Broadway
Chn1200A
New York, NY 10032-1559
Phone (212) 305-8500
Other practice location 3
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-4963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276995-1 | NY | MD | Pediatrics Physician |
| MT199142 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
dba OB/GYN Department of Mount Sinai
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225322456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK ST # WP4",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048901",
"telephone_number": "203-785-4081",
"fax_number": "203-688-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ST # WP4",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048901",
"telephone_number": "203-785-4081",
"fax_number": "203-688-5426"
}
],
"practiceLocations": [
{
"address_1": "365 Montauk Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204700",
"country_code": "US",
"telephone_number": "203-785-4081",
"fax_number": "203-737-7635",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3959 Broadway",
"address_2": "CHN1200A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100321559",
"country_code": "US",
"telephone_number": "212-305-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-4963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAGO",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2022-07-21",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT199142",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "276995-1",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "276995-1",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CT",
"license": "56602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.