NPIMap

Individual provider Active NPI

Mark Ayad Matta, DO

  • Psychiatry Physician
  • New Castle, PA
National Provider Identifier
1245424084
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
05013244 Issued in PA
Practice address
2616 Wilmington Rd
Suite a
New Castle, PA 16105-1504
Phone
(724) 652-2323
Fax
(724) 654-3461
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 05013244 PA Primary

Addresses

Primary practice location

2616 Wilmington Rd
Suite a
New Castle, PA 16105-1504

Mailing address

2616 Wilmington Rd
Suite a
New Castle, PA 16105-1504
Phone (724) 652-2323

Other identifiers 2

IdentifierTypeStateIssuer
1984587OtherPABCBS
1020636200001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000251 PA Practitioner - Psychiatry 3577658988 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych-Med Associates, IncGroup PAC ID 4486691052, 5 clinicians

Practice addresses (Care Compare)

26 Nesbitt Rd
Suite 253
New Castle, PA 16105-3414
Phone (724) 652-2323

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05013244PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
People in Need-Lawrence County Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Steward Medical Group Inc. Current Accepting new patients
Steward Trumbull Memorial Hospital, Inc. Past Accepting new patients

Locations

2703 W State St
New Castle, PA 16101
Phone 7246573303 ext. 101

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1245424084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 WILMINGTON RD",
            "address_2": "SUITE A",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051504",
            "telephone_number": "724-652-2323",
            "fax_number": "724-654-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 WILMINGTON RD",
            "address_2": "SUITE A",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051504",
            "telephone_number": "724-652-2323",
            "fax_number": "724-654-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "MARK",
        "middle_name": "AYAD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "05013244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1984587",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020636200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.