NPIMap

Individual provider Active NPI

Mathew Q Fakhoury, DO

  • Urology Physician
  • Yonkers, NY
National Provider Identifier
1306208046
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
310197 Issued in NY
Practice address
944 N Broadway Ste 103
Yonkers, NY 10701-1314
Phone
(914) 968-0000
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 310197 NY Primary

Addresses

Primary practice location

944 N Broadway Ste 103
Yonkers, NY 10701-1314

Mailing address

340 Broadhollow Rd
Farmingdale, NY 11735-4807
Phone (516) 931-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210803000825 NY Practitioner - Urology 3173927878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TJH Medical Services PC 215 clinicians
Jamaica Hospital 252 clinicians
Integrated Medical Professionals PLLC 91 clinicians

Practice addresses (Care Compare)

8900 Van Wyck Expressway
Surgery
Jamaica, NY 11418-2832
Phone (718) 206-6797

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6601

944 N Broadway
Suite 103
Yonkers, NY 10701-1314
Phone (914) 968-0000

Hospital & facility affiliations

  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

Practice roles (9 of 13)

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Aug 1, 2021 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Aug 1, 2021 Accepting new patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients
Jamaica Hospital CurrentSince Nov 1, 2022 Accepting new patients
TJH Medical Services, P.C. Urology CurrentSince Nov 1, 2022 Accepting new patients
Jamaica Hospital CurrentSince Nov 1, 2022 Accepting new patients
Jamaica Hospital Past Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222

3594 E Tremont Ave
Ste 320
Bronx, NY 10465
Phone (718) 518-1108

77 Pondfield Rd
Ste 2F3
Bronxville, NY 10708
Phone (914) 237-2201

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

145 E 32nd St
Fl 10
New York, NY 10016
Phone (212) 889-6225

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

944 N Broadway
Ste 103
Yonkers, NY 10701
Phone (914) 968-0000

Networks

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

Interoperability endpoints

  • Direct secure messaging: mathewfakhoury@imppllc.allscriptsdirect.net
  • Direct secure messaging: nqe9001@direct.nyp.org
  • Direct secure messaging: mfakhoury104938@direct.medisys.org

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1306208046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354807",
            "telephone_number": "516-931-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE 103",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011314",
            "telephone_number": "914-968-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURY",
        "first_name": "MATHEW",
        "middle_name": "Q",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "310197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.