Active NPI
Matthew Mariani, OTR,BS
- Occupational Therapist
- Tuckahoe, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0083021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401995 | Other | NY | AETNA/ORTHONET TUCKAHOE |
| 2343974 | Other | NY | HUMANA |
| 264524354 | Other | NY | FPN MULTIPLAN/DME |
| 272438120 | Other | NY | HUDSON VALLEY HEALTH PLANS |
| 02584178 | Medicaid | NY | |
| 1251 | Other | NY | AMIDACARE-GROUP |
| 1372776 | Other | NY | CIGNA HEALTH PLANS-FACILITY |
| 272438120 | Other | NY | POMCO COMMERCIAL INSURANCE LINES |
| 0401997 | Other | CT | US FAMILY/ORTHONET MCLEAN AVENUE |
| 10494309 | Other | NY | CAQH |
| 01828702 | Other | NY | AMERIGROUP MEDICAID |
| 0401997 | Other | NY | AETNA/ORTHONET-MCLEAN AVENUE |
| 1016396 | Other | NY | NBCOT-NATIONAL BOARD CERTIFICATION OCCUPATIONAL THERAPY, INC |
| 1245368463-01 | Other | NY | HHC CHOICES GOLD HEALTH PLAN |
| 201116700038 | Other | NY | AFFINITY HEALTH PLAN |
| 2343974 | Other | NY | HUMANA DME |
| 264524354 | Other | NY | POMCO DME |
| 786980 | Other | NY | OPTUM HEATH PT-FACILITY |
| 828451 | Other | NY | OPTUM HEALTH PT/OXFORD HEALTH-CHILD/FREEDOM/FAMILY HEALTH/LIBERTY |
| Q54981 | Other | NY | EMPIRE BCBS |
| 01828702 | Other | NY | AMERIGROUP HEALTH PLAN(S) |
| 0401995 | Other | NY | CIGNA/ORHTONET- TUCKAHOE |
| 0401997 | Other | NY | CIGNA/ORTHONET-MCLEAN AVENUE |
| 786980 | Other | NY | UNITED HEALTHCARE PLANS FACILITY |
| 272438120 | Other | NY | FPN MULTIPLAN |
| 272438120 | Other | NY | MAGNACARE HEALTH PLANS LOCAL UNIONS IN NY STATE |
| 272438120 | Other | NY | AGEWELL OF NY |
| 64519002 | Other | NY | RAILROAD MEDICARE-DME |
| 7056591 | Other | NY | AETNA HEALTH PLAN LOCAL 1199 |
| 0401995 | Other | NY | US FAMILY/ORTHONET TUCKAHOE |
| 272438129-001 | Other | NY | HEALTHFIRST MEDICARE/COMPLETE MEDICARE/COMMERCIAL HEALTH PLANS |
| 3017733 | Other | NY | MVP HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01128100 | NJ | MD | Occupational Therapist |
| 0083021 | NY | MD | Occupational Therapist |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Jag-One Physical Therapy, LLC | Current | Accepting new patients | |
| RB Physical and Occupational Therapy PLLC | Occupational Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| O & P Plus, LLC | Past | Accepting new patients | |
| One on One Physical Therapy Services PLLC | Past | 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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
NY, Occupational Therapist
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Orthotist
- Bronx, NY
- NPI 1154649069
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
-
- Multi-Specialty Clinic/Center
- Yonkers, NY
- NPI 1265662316
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.