Active NPI
Matthew Demattia, MS, CCC-SLP
- Speech-Language Pathologist
- West Babylon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 023643-01
- Practice address
- 1436 13TH St
West Babylon, NY 11704-3224 - Phone
- (631) 422-0869
- NPI assigned
- Jun 16, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 023643-01 | NY | Primary |
Addresses
Primary practice location
1436 13TH St
West Babylon, NY 11704-3224
Mailing address
1436 13TH St
West Babylon, NY 11704-3224
Phone (631) 905-9983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023643-01 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li Professional Speech PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ats Rehab OT & PT & SLP PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Metro PT OT and SLP Health PLLC | Current | Accepting new patients | |
| Ny Speech Pathology Consultants, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1105 E County Line Rd
Ste 213
Lakewood, NJ 08701
4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844
10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Speech-Language Pathologist
-
- Occupational Therapist
- Long Beach, NY
- NPI 1841711454
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Locust Valley, NY
- NPI 1285976324
-
- Speech-Language Pathologist
- West Babylon, NY
- NPI 1396573721
-
- Physical Therapist
- Garden City, NY
- NPI 1447564042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1376169201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1436 13TH ST",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117043224",
"telephone_number": "631-905-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1436 13TH ST",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117043224",
"telephone_number": "631-422-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMATTIA",
"first_name": "MATTHEW",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "023643-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.