Kelly O'Malley Mattone, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

183883 Issued in NY

Practice address

8 Bond St
Suite 200
Great Neck, NY 11021-2448

Phone

(516) 482-2424

Fax

(516) 482-2420

NPI assigned

Feb 22, 2012

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1518230481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOND ST",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212448",
            "telephone_number": "516-482-2424",
            "fax_number": "516-482-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BOND ST",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212448",
            "telephone_number": "516-482-2424",
            "fax_number": "516-482-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTONE",
        "first_name": "KELLY",
        "middle_name": "O'MALLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "183883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arun Mathew
• Ashley Mathew
• Sharlene Mathew, AGACNP
• Iby Mathews, MS, OTR/L
• Mara Elizabeth Matkovic, M.D.
• Kenneth F Mattucci, M.D.
• Thomas Michael Mauri, M.D.
• Kenneth Mauro, P.T.
• Kristie Mauro, DPT
• Zenobia Mauro

• Physical Medicine & Rehabilitation Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.