Zoe Rebecca Mattana, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060544 Issued in NY

Practice address

4705 44TH St Ste A2
Woodside, NY 11377-6351

Phone

(718) 752-9000

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• LS Dental PC

  • General Practice Dentistry
  • Woodside, NY
  • NPI 1609044023
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1417458696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 44TH ST STE A2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776351",
            "telephone_number": "718-752-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 44TH ST STE A2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113776351",
            "telephone_number": "718-752-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27005 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "718-470-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTANA",
        "first_name": "ZOE",
        "middle_name": "REBECCA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil A Masih, RN
• Arif Rehmat Masih, NP
• Mason & Bugayeva Home Care Services Inc.
• Benjamin Fateh Mason, MD
• Jill Mastrandrea, MHC
• Maureen Desepeda Physical Therapy PC
• Stefanie Mayrhofer, RN
• MCC Optometry of Roosevelt PLLC
• Donna E McCabe
• Ryan Christine McGovern, M.S.ED.

• General Practice Dentistry in Woodside, NY
• Providers in Woodside, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.