Individual provider Active NPI

Matthew Mariani, OTR,BS

  • Occupational Therapist
  • Tuckahoe, NY
National Provider Identifier
1245368463
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0083021 Issued in NY
Practice address
115 Main St
Suite#202
Tuckahoe, NY 10707-2948
Phone
(914) 961-1010
Fax
(914) 961-1011
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01128100 NJ
Occupational Therapist 225X00000X 0083021 NY Primary

Addresses

Primary practice location

115 Main St
Suite#202
Tuckahoe, NY 10707-2948

Mailing address

115 Main St
Suite#202 2ND Floor
Tuckahoe, NY 10707-2948
Phone (914) 961-1010

Other identifiers 32

IdentifierTypeStateIssuer
0401995OtherNYAETNA/ORTHONET TUCKAHOE
2343974OtherNYHUMANA
264524354OtherNYFPN MULTIPLAN/DME
272438120OtherNYHUDSON VALLEY HEALTH PLANS
02584178MedicaidNY
1251OtherNYAMIDACARE-GROUP
1372776OtherNYCIGNA HEALTH PLANS-FACILITY
272438120OtherNYPOMCO COMMERCIAL INSURANCE LINES
0401997OtherCTUS FAMILY/ORTHONET MCLEAN AVENUE
10494309OtherNYCAQH
01828702OtherNYAMERIGROUP MEDICAID
0401997OtherNYAETNA/ORTHONET-MCLEAN AVENUE
1016396OtherNYNBCOT-NATIONAL BOARD CERTIFICATION OCCUPATIONAL THERAPY, INC
1245368463-01OtherNYHHC CHOICES GOLD HEALTH PLAN
201116700038OtherNYAFFINITY HEALTH PLAN
2343974OtherNYHUMANA DME
264524354OtherNYPOMCO DME
786980OtherNYOPTUM HEATH PT-FACILITY
828451OtherNYOPTUM HEALTH PT/OXFORD HEALTH-CHILD/FREEDOM/FAMILY HEALTH/LIBERTY
Q54981OtherNYEMPIRE BCBS
01828702OtherNYAMERIGROUP HEALTH PLAN(S)
0401995OtherNYCIGNA/ORHTONET- TUCKAHOE
0401997OtherNYCIGNA/ORTHONET-MCLEAN AVENUE
786980OtherNYUNITED HEALTHCARE PLANS FACILITY
272438120OtherNYFPN MULTIPLAN
272438120OtherNYMAGNACARE HEALTH PLANS LOCAL UNIONS IN NY STATE
272438120OtherNYAGEWELL OF NY
64519002OtherNYRAILROAD MEDICARE-DME
7056591OtherNYAETNA HEALTH PLAN LOCAL 1199
0401995OtherNYUS FAMILY/ORTHONET TUCKAHOE
272438129-001OtherNYHEALTHFIRST MEDICARE/COMPLETE MEDICARE/COMMERCIAL HEALTH PLANS
3017733OtherNYMVP HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091020000431 NY Practitioner - Occupational Therapist in Private Practice 8628115896 Reassigns benefits to 2 organizations
I20231103000563 NJ Practitioner - Occupational Therapist in Private Practice 8628115896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

115 Main St
Tuckahoe, NY 10707-2948
Phone (914) 961-1010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
46TR01128100NJMDOccupational Therapist
0083021NYMDOccupational Therapist

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Jag-One Physical Therapy, LLC CurrentSince Oct 23, 2023 Accepting new patients
RB Physical and Occupational Therapy PLLC Occupational Therapist CurrentSince Oct 23, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2023 Accepting new patients
O & P Plus, LLC PastSince Mar 24, 2009 Accepting new patients
One on One Physical Therapy Services PLLC PastSince Oct 23, 2023 Accepting new patients
Sloane Stecker Physical Therapy & Occupational Therapy LLP Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

3130 State Route 10
Denville, NJ 07834
Phone (973) 319-4230

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

34 Mountain Blvd
Warren, NJ 07059
Phone (908) 222-0515

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

111 E 210th St
Bronx, NY 10467

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

100 N Middletown Rd
Pearl River, NY 10965
Phone (845) 589-0556

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

115 Main St
Fl 2
Tuckahoe, NY 10707

115 Main St
Ste 202
Tuckahoe, NY 10707
Phone (914) 961-1010

625 McLean Ave
Yonkers, NY 10705
Phone (914) 423-5000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1245368463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "address_2": "SUITE#202 2ND FLOOR",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072948",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "address_2": "SUITE#202",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072948",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANI",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "OTR,BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01128100",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0083021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/ORTHONET  TUCKAHOE",
            "identifier": "0401995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "2343974",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPN MULTIPLAN/DME",
            "identifier": "264524354",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUDSON VALLEY HEALTH PLANS",
            "identifier": "272438120",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02584178",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMIDACARE-GROUP",
            "identifier": "1251",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS-FACILITY",
            "identifier": "1372776",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO COMMERCIAL INSURANCE LINES",
            "identifier": "272438120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FAMILY/ORTHONET MCLEAN AVENUE",
            "identifier": "0401997",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10494309",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP MEDICAID",
            "identifier": "01828702",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/ORTHONET-MCLEAN AVENUE",
            "identifier": "0401997",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT-NATIONAL BOARD CERTIFICATION OCCUPATIONAL THERAPY, INC",
            "identifier": "1016396",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHC CHOICES GOLD HEALTH PLAN",
            "identifier": "1245368463-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "201116700038",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA DME",
            "identifier": "2343974",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO DME",
            "identifier": "264524354",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEATH PT-FACILITY",
            "identifier": "786980",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH PT/OXFORD HEALTH-CHILD/FREEDOM/FAMILY HEALTH/LIBERTY",
            "identifier": "828451",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "Q54981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP HEALTH PLAN(S)",
            "identifier": "01828702",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/ORHTONET- TUCKAHOE",
            "identifier": "0401995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/ORTHONET-MCLEAN AVENUE",
            "identifier": "0401997",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PLANS FACILITY",
            "identifier": "786980",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPN MULTIPLAN",
            "identifier": "272438120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE HEALTH PLANS LOCAL UNIONS IN NY STATE",
            "identifier": "272438120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGEWELL OF NY",
            "identifier": "272438120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-DME",
            "identifier": "64519002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN LOCAL 1199",
            "identifier": "7056591",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FAMILY/ORTHONET TUCKAHOE",
            "identifier": "0401995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST MEDICARE/COMPLETE MEDICARE/COMMERCIAL HEALTH PLANS",
            "identifier": "272438129-001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLANS",
            "identifier": "3017733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.