Active NPI
Marina Matatova DO PC
- Dermatology Physician
- Brooklyn, NY
National Provider Identifier
1578148185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MARINA MATATOVA DO PC
- Practice address
- 391 Stanhope St
Brooklyn, NY 11237-4404 - Phone
- (718) 366-1747
- Fax
- (718) 606-8966
- NPI assigned
- Mar 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Sanchez
- Title
- Office Manager
- Phone
- (347) 642-9802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
391 Stanhope St
Brooklyn, NY 11237-4404
Mailing address
4037 74TH St
Elmhurst, NY 11373-5603
Phone (718) 651-7000
National Provider Directory
National Provider DirectoryLocations
4037 74th St
Flushing, NY 11373
Phone (347) 642-9802
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Elmhurst, NY
- NPI 1881977304
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1548228943
-
- Dermatology Physician
- Elmhurst, NY
- NPI 1962692152
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1023082039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615766400000",
"number": "1578148185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4037 74TH ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735603",
"telephone_number": "718-651-7000",
"fax_number": "718-606-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 STANHOPE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374404",
"telephone_number": "718-366-1747",
"fax_number": "718-606-8966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA MATATOVA DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "347-642-9802"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.