Matthew Lobosco, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

271894 Issued in NY

Practice address

515 Valley St Ste 203
Maplewood, NJ 07040-4300

Phone

(908) 663-2929

Fax

(908) 219-6213

NPI assigned

Mar 27, 2009

Sex

Male

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 NY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revived Soul Medical PCGroup PAC ID 0749466266, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.08 of 100Reported as group

Quality

85

Improvement activities

40

Cost

83.71

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Omni Medical 360 PLLC

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1114780525

  Psychiatry

  Medicare reassignment NPD Authorized official
• Revived Soul Medical PC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1821389941
  Medicare reassignment Care Compare group NPD
• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1841536554
  Medicare reassignment NPD
• Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1649837113
  NPD
• United Cerebral Palsy Associations of New York State, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1366507758
  NPD
• CS Medical Associates, P.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverhead, NY
  • NPI 1043873417
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1487896148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VALLEY ST STE 203",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070404300",
            "telephone_number": "908-663-2929",
            "fax_number": "908-219-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 VALLEY ST STE 203",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070404300",
            "telephone_number": "908-663-2929",
            "fax_number": "908-219-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Stony Brook University Hospital",
            "address_2": "Medical Staff Office T14",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117947148",
            "country_code": "US",
            "telephone_number": "631-444-2754",
            "fax_number": "631-444-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBOSCO",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "271894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Beth Levine, PHD
• Lexann Pharmacy & Wellness Center
• Liberty Medical Care Services LLC
• Linckage Logistics Solutions, LLC
• Neal Howard Litinger, PH.D.
• John S Loconte, PHD
• Dyan Longo
• Lorraine E Caputo LCSW
• Neika Louisdort
• Loving Care Oncology LLC

• Psychiatry Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.