Mavroson Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAVROSON MEDICAL PC

Practice address

57 Laurel LN
Roslyn Heights, NY 11577-1608

Phone

(516) 313-9949

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Nicholas Mavroson, DONPI 1164712329

Title

President

Phone

(516) 313-9949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Matthew Nicholas Mavroson, D.O.

  • Internal Medicine Physician
  • Roslyn Heights, NY
  • NPI 1164712329
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Anthony Fusco, PA

  • Physician Assistant
  • Fresh Meadows, NY
  • NPI 1417506361
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1275230336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LAUREL LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771608",
            "telephone_number": "516-313-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 LAUREL LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771608",
            "telephone_number": "516-313-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVROSON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "MAVROSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-313-9949",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cerrill Mathew, RPH
• Wendi Eileen Mathews, LMSW
• Mweene Matulula
• Margaret Ann Maurer, COTA
• Maurice Klein, MD,PC
• Matthew Nicholas Mavroson, D.O.
• Maximizing Early Development LLC
• Dorsey Mayer, LCSW
• Roger Mazlen, MD
• Melissa Ann McCardle, LCSW

• Internal Medicine Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, 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 Jun 23, 2025; 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.