Active NPI
Cindy M Nazario- Matos, M.D.
- Pediatrics Physician
- Titusville, FL
National Provider Identifier
1306882642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ACN949
- Practice address
- 500 N Washington Ave Ste 105
Titusville, FL 32796-2759 - Phone
- (321) 268-0267
- Fax
- (321) 268-3357
- NPI assigned
- Jun 22, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2010006918 | MO | |
| Pediatrics Physician | 208000000X | ACN949 | FL | Primary |
| Pediatrics Physician | 208000000X | 13467 | PR |
Addresses
Primary practice location
500 N Washington Ave Ste 105
Titusville, FL 32796-2759
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
Other practice location 1
1012 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021690500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171213001651 | FL | Order and Referring Only - Pediatric Medicine | 7719298066 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010006918 | MO | MD | Pediatrics Physician |
| 13467 | PR | MD | Pediatrics Physician |
Interoperability endpoints
- cindy.naraziomatos@bha.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306882642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329021137",
"telephone_number": "321-952-9696",
"fax_number": "321-952-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N WASHINGTON AVE STE 105",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962759",
"telephone_number": "321-268-0267",
"fax_number": "321-268-3357"
}
],
"practiceLocations": [
{
"address_1": "1012 N Main St",
"address_purpose": "LOCATION",
"city": "Sikeston",
"state": "MO",
"postal_code": "638015044",
"country_code": "US",
"telephone_number": "573-471-0330",
"fax_number": "573-472-2966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZARIO- MATOS",
"first_name": "CINDY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2010006918",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ACN949",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "13467",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021690500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
- Nimesh Harish Naik, M.D.
- Shoneisha M Nalley, COTA
- Audrey Nardone
- Mary Elizabeth Navarino
- Manuel Angel Navas Micheo, M.D., F.A.C.O.G.
- Jennifer L Neff, APRN, MSN, FNP-BC
- Nemours Children's Health, Titusville, Specialty Care
- Neurobloom Therapy LLC
- Neurospect of Florida
- New Creation Counseling LLC (Embrace Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.