Mazal Margarita Matayev, M.A.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014300 Issued in NY

Practice address

7323 179TH St
Fresh Meadows, NY 11366-1603

Phone

(171) 896-9777

NPI assigned

Jan 14, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1467699322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 179TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661603",
            "telephone_number": "171-896-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 179TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661603",
            "telephone_number": "171-896-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAYEV",
        "first_name": "MAZAL",
        "middle_name": "MARGARITA",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Solomon Matatov, PHARM.D.
• Lev Y Matatov, CFO,BOCO,COTA
• Sarah Matatov
• Irina Matatova, OTR/L
• Nelya Matatova, COTA/L
• Raisa Matayev, PA
• Sarah N Matayev, MA SLP-TSSLD
• Ella Matayeva
• Violetta Matayeva
• Kristin Elizabeth Mateiko

• Speech-Language Pathologist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.