NPIMap

Individual provider Active NPI

Matthew Ryan Boylan, MD MPH

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Port Jefferson, NY
National Provider Identifier
1356797138
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
317403 Issued in NY
Practice address
635 Belle Terre Rd Ste 204
Port Jefferson, NY 11777-1977
Phone
(631) 302-7349
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 317403 NY Primary

Addresses

Primary practice location

635 Belle Terre Rd Ste 204
Port Jefferson, NY 11777-1977

Mailing address

1101 Stewart Ave Ste 100
Garden City, NY 11530-4833
Phone (516) 838-8739

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmalcolm3@orlincohen.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210709002047 NC Practitioner - Orthopedic Surgery 5597090662 Reassigns benefits to 1 organization
I20220919002247 NY Practitioner - Orthopedic Surgery 5597090662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

3480 Veterans Memorial Hwy
Bohemia, NY 11716-1068
Phone (631) 289-0338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317403NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Aug 15, 2022 Accepting new patients
Carolinas Medical Center Current Accepting new patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Aug 15, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Aug 1, 2021 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

3480 Veterans Memorial Hwy
Bohemia, NY 11716
Phone (631) 289-0338

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

635 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (516) 331-7700

635 Belle Terre Rd
Ste 204
Prt Jefferson, NY 11777
Phone (631) 474-0008

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

222 E Middle Country Rd
Ste 108
Smithtown, NY 11787
Phone (631) 706-2800

Interoperability endpoints

  • Direct secure messaging: matthewboylan@nslijmedgr.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1356797138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STEWART AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304833",
            "telephone_number": "516-838-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD STE 204",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771977",
            "telephone_number": "631-302-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "317403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmalcolm3@orlincohen.com",
            "affiliation": "N",
            "endpointDescription": "Credential Coordinator",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "635 Belle Terre Rd Ste 204",
            "city": "Port Jefferson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117771977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.