Active NPI
Raymond J Matta, MD
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1235206665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 123728
- Practice address
- 1120 Park Avenue
New York, NY 10128-1242 - Phone
- (212) 410-5800
- Fax
- (212) 860-4045
- NPI assigned
- Nov 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 123728 | NY | Primary |
Addresses
Primary practice location
1120 Park Avenue
New York, NY 10128-1242
Mailing address
1120 Park Avenue
New York, NY 10128-1242
Phone (212) 410-5800
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110218000525 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 9032390406 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Pittsburgh School of Medicine, 1969
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1120 Park Ave
New York, NY 10128-1242
Phone (212) 410-5800
Hospital & facility affiliations
- VNS of Ny Home Care Chha
- Mount Sinai Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.43 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 61.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123728 | NY | MD | Cardiovascular Disease Physician |
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- Home Health Agency
- New York, NY
- NPI 1528059805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1235206665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 PARK AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281242",
"telephone_number": "212-410-5800",
"fax_number": "212-860-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 PARK AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281242",
"telephone_number": "212-410-5800",
"fax_number": "212-860-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTA",
"first_name": "RAYMOND",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "123728",
"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 Oct 22, 2010; 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.