NPIMap

Individual provider Active NPI

Matthew Brown, PA

  • Medical Physician Assistant
  • Hauppauge, NY
National Provider Identifier
1396385019
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
120 Plant Ave
Hauppauge, NY 11788-3805
Phone
(631) 650-2510
NPI assigned
Jan 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

120 Plant Ave
Hauppauge, NY 11788-3805

Mailing address

159 Carleton Ave
Central Islip, NY 11722-4172
Phone (631) 650-2510

Other practice location 1

883 E Main St
Riverhead, NY 11901-2613
Phone (631) 650-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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
I20210312001226 NY Practitioner - Physician Assistant 8426464686 Reassigns benefits to 2 organizations
I20251105004083 CA Practitioner - Physician Assistant 8426464686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Select Healthcare, IncGroup PAC ID 5991086225, 29 clinicians

Practice addresses (Care Compare)

120 Plant Ave
Hauppauge, NY 11788-3827
Phone (631) 650-2510

159 Carleton Ave
Central Islip, NY 11722-4172
Phone (631) 650-2510

883 E Main St
Riverhead, NY 11901-2613
Phone (631) 650-2510

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026288NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos a. Smith, M.D, Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Mobile Medical Healthcare, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

1907 Border Ave
Torrance, CA 90501
Phone (585) 278-0502

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

883 E Main St
Riverhead, NY 11901
Phone (631) 284-5500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: matthew.brown.1@24989.direct.athenahealth.com

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 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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1396385019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CARLETON AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224172",
            "telephone_number": "631-650-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PLANT AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883805",
            "telephone_number": "631-650-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "883 E Main St",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012613",
            "country_code": "US",
            "telephone_number": "631-650-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MATTHEW",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.