Nicole Mattis-Catlin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F349427 Issued in NY

Practice address

35 Delaware Ave
Freeport, NY 11520-2003

Phone

(516) 379-0714

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riverhead Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Massapequa, NY
  • NPI 1912519455
  NPD
• Setauket Medical & Rehabilitation PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Setauket, NY
  • NPI 1811509409
  NPD
• Westhampton Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Westhampton Beach, NY
  • NPI 1013529551
  NPD
• VP Medical, PC

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1225381239
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1225772999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DELAWARE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202003",
            "telephone_number": "516-379-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DELAWARE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202003",
            "telephone_number": "516-379-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIS-CATLIN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Beth Martz Klein
• Maryhaven Center of Hope,Inc
• Michelle Masseus-Patterson
• John Francis Masters, DDS
• Mary Patricia Mathews
• Edward Maurer, D.D.S.
• Lauren Maycock
• Victor Mazariegos, RN
• McCally & Ring Urology Associates
• Daniel McCally, MD

• Family Nurse Practitioner in Freeport, NY
• Providers in Freeport, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.