Individual provider Active NPI

Matthew Paul Mauer, DO MPH

  • Occupational Medicine Physician
  • Reno, NV
National Provider Identifier
1609951466
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
200874 Issued in NY
Practice address
1955 Heavenly View TRL
Reno, NV 89523
Phone
(518) 526-5170
Fax
(518) 514-1300
NPI assigned
Oct 27, 2006
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 200874 NY
Public Health & General Preventive Medicine Physician 2083P0901X 200874 NY
Occupational Medicine Physician 2083X0100X 200874 NY Primary

Addresses

Primary practice location

1955 Heavenly View TRL
Reno, NV 89523

Mailing address

1955 Heavenly View TRL
Reno, NV 89523-6895
Phone (518) 526-5170

Other practice location 1

1873 Western Ave
Suite 100
Albany, NY 12203
Phone (518) 690-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
200874NYMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1609951466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 HEAVENLY VIEW TRL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895236895",
            "telephone_number": "518-526-5170",
            "fax_number": "518-514-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 HEAVENLY VIEW TRL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "518-526-5170",
            "fax_number": "518-514-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 Western Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12203",
            "country_code": "US",
            "telephone_number": "518-690-4420",
            "fax_number": "518-690-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUER",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "200874",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "200874",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "200874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.