Individual provider Active NPI

Christopher S Matkovic, MD

  • Infectious Disease Physician
  • Smithtown, NY
National Provider Identifier
1245222025
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
137370 Issued in NY
Practice address
80 Maple Ave
Ste 204
Smithtown, NY 11787-3520
Phone
(631) 265-0075
Fax
(631) 265-0078
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 137370 NY Primary

Addresses

Primary practice location

80 Maple Ave
Ste 204
Smithtown, NY 11787-3520

Mailing address

80 Maple Ave
Ste 204
Smithtown, NY 11787-3520
Phone (631) 265-0075

Other identifiers 2

IdentifierTypeStateIssuer
00557704MedicaidNY
P485065OtherNYOXFORD

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245222025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAPLE AVE",
            "address_2": "STE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873520",
            "telephone_number": "631-265-0075",
            "fax_number": "631-265-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAPLE AVE",
            "address_2": "STE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873520",
            "telephone_number": "631-265-0075",
            "fax_number": "631-265-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATKOVIC",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "137370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00557704",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P485065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.