Individual provider Active NPI

Matthew Mattone, MS,APRN,BC-ANP

  • Adult Health Nurse Practitioner
  • Nesconset, NY
National Provider Identifier
1467427229
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301752-1 Issued in NY
Practice address
100 Southern Blvd
Nesconset, NY 11767-1749
Phone
(631) 361-8800
Fax
(631) 366-3462
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301752-1 NY Primary

Addresses

Primary practice location

100 Southern Blvd
Nesconset, NY 11767-1749

Mailing address

100 Southern Blvd
Nesconset, NY 11767-1749
Phone (631) 361-8800

Other identifiers 1

IdentifierTypeStateIssuer
02654355MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627001294 NY Practitioner - Nurse Practitioner 9830134121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

555 Little E Neck Rd
Suite 6
West Babylon, NY 11704-6538
Phone (631) 661-4600

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
301752NYMDPediatric Adolescent Medicine Physician
F301752-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Oct 1, 2020 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 17, 2018 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 17, 2018 Accepting new patients

Locations

712 Main St
Islip, NY 11751
Phone (631) 666-3939

100 Southern Blvd
Nesconset, NY 11767
Phone (631) 361-8100

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

52 Route 25A
Smithtown, NY 11787
Phone (631) 617-5250

501A W Montauk Hwy
West Babylon, NY 11704
Phone (631) 226-8600

555 Little East Neck Rd
Ste 6
West Babylon, NY 11704
Phone (631) 661-4600

111 Beach Dr
West Islip, NY 11795
Phone (631) 587-1600

Networks

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

Interoperability endpoints

  • Direct secure messaging: mmattone91843@direct-chsli.net

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 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1467427229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTHERN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671749",
            "telephone_number": "631-361-8800",
            "fax_number": "631-470-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTHERN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671749",
            "telephone_number": "631-361-8800",
            "fax_number": "631-366-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTONE",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MS,APRN,BC-ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301752-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02654355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

Verify at the official NPI Registry.