Individual provider Active NPI

Matthew J. Krauthamer, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Dix Hills, NY
National Provider Identifier
1619109121
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
249335 Issued in NY
Practice address
16 Capri CT
Dix Hills, NY 11746-6410
Phone
(646) 265-2500
NPI assigned
Aug 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 249335 NY
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 249335 NY Primary

Addresses

Primary practice location

16 Capri CT
Dix Hills, NY 11746-6410

Mailing address

PO Box 5234
West Babylon, NY 11707-0234
Phone (646) 265-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100729000325 NJ Practitioner - Emergency Medicine 6901937317 Reassigns benefits to 2 organizations
I20110729000306 NY Practitioner - Emergency Medicine 6901937317 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
MVHS Inc CurrentSince Jan 23, 2012 Accepting new patients
MVHS Inc CurrentSince Jan 23, 2012 Accepting new patients
Exigence Medical of Binghamton PLLC Emergency Medical Services CurrentSince Aug 1, 2014 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Jun 1, 2010 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jun 1, 2010 Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: mkrauthamer198961@direct-guthrie.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1619109121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5234",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117070234",
            "telephone_number": "646-265-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CAPRI CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466410",
            "telephone_number": "646-265-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTHAMER",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "249335",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "249335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.