Active NPI
City Medical Physician PC
- Ophthalmology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CITY MEDICAL PHYSICIAN PC
- Practice address
- 417 E 138TH St
Bronx, NY 10454-3004 - Phone
- (845) 359-7272
- Fax
- (845) 359-7388
- NPI assigned
- Feb 28, 2024
- Last updated
- Apr 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayman Matta
- Title
- Owner
- Phone
- (845) 652-0151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
417 E 138TH St
Bronx, NY 10454-3004
Mailing address
99 Dutch Hill Rd
Orangeburg, NY 10962-2185
Phone (845) 359-7272
Other practice location 1
99 Dutch Hill Rd
Orangeburg, NY 10962-2185
Phone (845) 359-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
417 E 138th St
Bronx, NY 10454
Phone (917) 642-1035
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Orangeburg, NY
- NPI 1841288388
-
- Ophthalmology Physician
- New York, NY
- NPI 1770664294
-
- Optometrist
- Queens Village, NY
- NPI 1184725152
-
- Registered Dietitian
- Brooklyn, NY
- NPI 1053540989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1265299044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 DUTCH HILL RD",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622185",
"telephone_number": "845-359-7272",
"fax_number": "845-359-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E 138TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104543004",
"telephone_number": "845-359-7272",
"fax_number": "845-359-7388"
}
],
"practiceLocations": [
{
"address_1": "99 Dutch Hill Rd",
"address_purpose": "LOCATION",
"city": "Orangeburg",
"state": "NY",
"postal_code": "109622185",
"country_code": "US",
"telephone_number": "845-359-7272",
"fax_number": "845-359-7388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CITY MEDICAL PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "MATTA",
"authorized_official_first_name": "AYMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-652-0151"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- City Medical of Upper East Side, PLLC (CityMD)
- City Medical of Upper East Side, PLLC (CityMD Urgent Care)
- City Medical of Upper East Side, PLLC
- City Medical of Upper East Side, PLLC (Citymd Urgent Care)
- City Medical of Upper East Side, PLLC (CityMD)
- City Medical Supply LLC
- City Mind NP in Psychiatry, P.C. (Hello Phrend)
- City of New York Office of Payroll Administration
- City of New York Office of Payroll Administration (NYCDOH Morrisania Dist Ctr)
- City Pro Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.