Active NPI
Sarah L. Matera, PA
- Physician Assistant
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018756
- Practice address
- 904 E Shore Dr
Ithaca, NY 14850-1026 - Phone
- (607) 257-6563
- Fax
- (607) 257-1420
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018756 | NY | Primary |
Addresses
Primary practice location
904 E Shore Dr
Ithaca, NY 14850-1026
Mailing address
904 E Shore Dr
Ithaca, NY 14850-1026
Phone (607) 257-6563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04554358 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 John Roemmelt Dr
Horseheads, NY 14845-8303
104 S Porter St
Watkins Glen, NY 14891-1622
Phone (607) 535-7873
418 S Hamilton St
Painted Post, NY 14870-9705
Phone (607) 936-2089
571 Saint Josephs Blvd
Suite 304
Elmira, NY 14901-3234
Phone (607) 737-7012
600 Roe Ave
Elmira, NY 14905-1629
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018756 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients |
Locations
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050
100 John Roemmelt Dr
Ste 200
Horseheads, NY 14845
Phone (607) 795-2850
100 John Roemmelt Dr
Ste 101
Horseheads, NY 14845
Phone (607) 739-0352
418 S Hamilton St
Ste 109A
Painted Post, NY 14870
Phone (607) 936-2089
104 S Porter St
Watkins Glen, NY 14891
Phone (607) 535-7873
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Critical Access Hospital
- Montour Falls, NY
- NPI 1639150477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1518342484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E SHORE DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501026",
"telephone_number": "607-257-6563",
"fax_number": "607-257-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E SHORE DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501026",
"telephone_number": "607-257-6563",
"fax_number": "607-257-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATERA",
"first_name": "SARAH",
"middle_name": "L.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04554358",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.