Kimberly Matthews, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

284661 Issued in NY

Practice address

11706 225TH St
Cambria Heights, NY 11411-1706

Phone

(718) 712-8511

NPI assigned

May 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Pediatrics

  Medicare reassignment NPD
• Unity Family Care

  • Pediatrics Physician
  • Jamaica, NY
  • NPI 1477432961
  NPD Authorized official
• Montefiore New Rochelle Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1295163244
  Medicare reassignment
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  • Nephrology Physician
  • Harrisburg, PA
  • NPI 1699146027
  NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Pediatrics

  NPD
• Camkids Pediatrics PC

  • Pediatrics Physician
  • Cambria Heights, NY
  • NPI 1710057872
  NPD (past)
• Montefiore New Rochelle Hospital

  • General Acute Care Hospital
  • New Rochelle, NY
  • NPI 1720414154
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1295112712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LEFFERTS PL",
            "address_2": "APT E25",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382846",
            "telephone_number": "516-984-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11706 225TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111706",
            "telephone_number": "718-712-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KIMBERLY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "284661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sytieya Elizabeth Mann-Mills, M.S., COMS
• Krystle Marcoviche, RN
• Krystal Martinez
• Tatiana Massa, RN
• Matrix Medical Network
• Dominque Mayers
• Cheryl Ann McKay- Mitchell, FNP
• Phelicia McKenzie, RN
• Shirley Ava McLamore
• Andrea Cecile McNeil Tucker, LCSW

• Pediatrics Physician in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.