Individual provider Active NPI

Sarah L. Matera, PA

  • Physician Assistant
  • Ithaca, NY
National Provider Identifier
1518342484
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018756 Issued in NY
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

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04554358MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904002030 NY Practitioner - Physician Assistant 7315253366 Reassigns benefits to 2 organizations

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
Arnot Medical Services PLLCGroup PAC ID 0840450748, 91 clinicians
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

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

LicenseStateTypeSpecialty
018756NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Jan 2, 2025 Accepting new patients
Arnot Ogden Medical Center CurrentSince Jan 2, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.