Robert Matsch

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0058831 Issued in NY

Practice address

357 Broadway
Amityville, NY 11701-2748

Phone

(716) 544-7303

NPI assigned

Dec 21, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Five Boroughs Acupuncture P C

  • Acupuncturist
  • Amityville, NY
  • NPI 1932671286
  NPD (past) Authorized official

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1578035036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 BREESPORT RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148459321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012748",
            "telephone_number": "716-544-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSCH",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0058831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Adassa Martin, REGISTERED NURSE
• Massapequa Center LLC (Massapequa Center Rehabilitation and Nursing)
• Massapequa Center LLC (Massapequa Center Adult Day Care)
• Christine Mateo
• Mathew T. Chengot MD PC
• Geraldine Maurice, M.S
• Shannan Marie Maxey-Ricoy, RPA-C
• Maximum Motion Physical Therapy PLLC
• Dana Mazes
• Samantha McArdle

• Acupuncturist in Amityville, NY
• Providers in Amityville, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.