Individual provider Active NPI

Matilda Mary Taddeo, M.D.

  • Cardiovascular Disease Physician
  • Bronxville, NY
National Provider Identifier
1376647784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
168065 Issued in NY
Practice address
1 Pondfield Rd W
Bronxville, NY 10708-2666
Phone
(914) 793-1606
Fax
(914) 793-1837
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 168065 NY Primary

Addresses

Primary practice location

1 Pondfield Rd W
Bronxville, NY 10708-2666

Mailing address

1 Pondfield Rd W
Bronxville, NY 10708-2666
Phone (914) 793-1606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000512 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759484231 Reassigns benefits to 1 organization
Practice locations: Bronxville, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Pondfield Rd W
Suite 7
Bronxville, NY 10708-2694
Phone (914) 793-1606

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Lawrence Home Care of Westchester Home health agency, White Plains, NY, CCN 337036
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030
  • Epic Rehabilitation And Nursing At White Plains Nursing home, White Plains, NY, CCN 335878

Merit-based Incentive Payment System (MIPS)

Final score
19.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxville Cardiology Associates Cardiovascular Disease CurrentSince Jan 1, 1977 Accepting new patients
Pondfield Medical PLLC Cardiovascular Disease Current Accepting new patients
Bronxville Medical Associates, PLLC Cardiovascular Disease PastSince Jan 1, 2009 Accepting new patients

Locations

1 Pondfield Rd W
Ste 2
Bronxville, NY 10708
Phone (914) 472-4610

1 Pondfield Rd W
Ste 7
Bronxville, NY 10708
Phone (914) 704-4300

1 Pondfield Rd W
Bronxville, NY 10708
Phone (914) 337-9295

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376647784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PONDFIELD RD W",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107082666",
            "telephone_number": "914-793-1606",
            "fax_number": "914-793-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PONDFIELD RD W",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107082666",
            "telephone_number": "914-793-1606",
            "fax_number": "914-793-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDEO",
        "first_name": "MATILDA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "168065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.