Martin Matalon, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

099639 Issued in NY

Practice address

375 E Main St
Suite 4
Bay Shore, NY 11706-8418

Phone

(631) 665-8226

Fax

(631) 665-8140

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1548249378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 MONTAUK HWY",
            "address_2": "STE B",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691491",
            "telephone_number": "631-665-8226",
            "fax_number": "631-665-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068418",
            "telephone_number": "631-665-8226",
            "fax_number": "631-665-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALON",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "099639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00644197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Kathryn Maseroni, MS OTR
• Gianna Isabella Masi
• Stephen J Masiar, MD
• Jacquelyn Mason, R.N.
• Jack Massa
• Ann-Marie Gilia Matei
• Tiffany Daniela Mateo
• Michele Lynn Matera, ATC, LAT
• Angelo Salvatore Materia, MD
• Joel Puthenpurackal Mathew

• Obstetrics & Gynecology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.