Active NPI
Matthew Jon Meyer, DMD
- Dentist
- Huntington, NY
National Provider Identifier
1376136549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062747
- Practice address
- 205 E Main St Ste 1-1
Huntington, NY 11743-7934 - Phone
- (631) 421-1818
- NPI assigned
- Feb 18, 2021
- Last updated
- Dec 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062747 | NY | Primary |
Addresses
Primary practice location
205 E Main St Ste 1-1
Huntington, NY 11743-7934
Mailing address
7 W 45TH St FL 2
New York, NY 10036-4921
Phone (212) 382-3782
Other practice location 1
7 W 45th St Fl 2
New York, NY 10036-4921
Phone (212) 382-3782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062747 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru Smiles Dental of Huntington PLLC | Dentist | Current | Accepting new patients |
| Sandip Sachar DDS PC | Dentist | Past | Accepting new patients |
| Chase Dental Care of Manhattan | Past | Accepting new patients | |
| Koppelman Dental | Dentist | Past | Accepting new patients |
Locations
205 E Main St
Ste 1-1
Huntington, NY 11743
Phone (631) 421-1818
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Huntington, NY
- NPI 1336018183
-
- General Practice Dentistry
- New York, NY
- NPI 1376932079
-
- Dentist
- New York, NY
- NPI 1396166393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1376136549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 W 45TH ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364921",
"telephone_number": "212-382-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E MAIN ST STE 1-1",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437934",
"telephone_number": "631-421-1818"
}
],
"practiceLocations": [
{
"address_1": "7 W 45th St Fl 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100364921",
"country_code": "US",
"telephone_number": "212-382-3782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "MATTHEW",
"middle_name": "JON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-18",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.