Individual provider Active NPI

Steven Harris Materetsky, M.D.

  • Pediatrics Physician
  • Hackensack, NJ
National Provider Identifier
1497723019
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
070768 Issued in NJ
Practice address
90 Prospect Ave
Suite 1a
Hackensack, NJ 07601-1909
Phone
(201) 342-4001
Fax
(201) 342-9569
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 070768 NJ Primary

Addresses

Primary practice location

90 Prospect Ave
Suite 1a
Hackensack, NJ 07601-1909

Mailing address

90 Prospect Ave
Suite 1a
Hackensack, NJ 07601-1909
Phone (201) 342-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160229001517 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7719282748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
070768NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497723019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "address_2": "SUITE 1A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-342-4001",
            "fax_number": "201-342-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PROSPECT AVE",
            "address_2": "SUITE 1A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011909",
            "telephone_number": "201-342-4001",
            "fax_number": "201-342-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERETSKY",
        "first_name": "STEVEN",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "070768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.