Mary Mattheos Physician P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARY MATTHEOS PHYSICIAN P.C.

Practice address

350 W Montauk Hwy
Lindenhurst, NY 11757-5630

Phone

(631) 226-0388

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary MattheosNPI 1609977719

Title

Doctor

Phone

(631) 956-6002

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Mattheos, M.D.

  • Internal Medicine Physician
  • Lindenhurst, NY
  • NPI 1609977719
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas James Cipolla, PA

  • Medical Physician Assistant
  • Plainview, NY
  • NPI 1992860282
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1245426550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W MONTAUK HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575630",
            "telephone_number": "631-226-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W MONTAUK HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575630",
            "telephone_number": "631-226-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MATTHEOS PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MATTHEOS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-956-6002",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Carl Marcello, R.PH.
• Shavon L. Marsh
• Michelle Jean Martin, SPEECH-LANGUAGE PATH
• Kristina Martorano
• Marvin S Watsky PC
• Dana Marzigliano, LAC
• Carolyn Marzo, OTR/L
• Kristin Anna Mascia
• Karen Marie Maslak, MA, CCC-SLP
• Juliane Scapperotti Mastrandrea, MS

• Internal Medicine Physician in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.