Richard a. Matano, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

166525 Issued in NY

Legal business name

RICHARD A. MATANO, MD, PC

Practice address

211 Main St
Port Washington, NY 11050-3211

Phone

(516) 883-0700

Fax

(516) 883-5250

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Anthony Matano, M.D.NPI 1629167176

Title

Owner

Phone

(516) 883-0700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Anthony Matano, M.D., F.A.C.S

  • Vascular Surgery Physician
  • Great Neck, NY
  • NPI 1629167176

  Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487743878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503211",
            "telephone_number": "516-883-0700",
            "fax_number": "516-883-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503211",
            "telephone_number": "516-883-0700",
            "fax_number": "516-883-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. MATANO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATANO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-883-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "166525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DA1759",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "W39902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Franz Restivo, MSPT
• Steven Michael Restivo, PT
• Revere Medical Associates, P.C.
• Scott L Rex, MD
• Jessica Ashley Rich, MSED
• Joshua Michael Ring, LCSW
• Nomi Rinke, DCSW
• Danielle D Roberts, D.O.
• Robyn Croutch D C P C
• Carolyn Rochel

• Specialist in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.