Andrew Charles Matteliano, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1598681 Issued in NY

Practice address

235 North St
Buffalo, NY 14201-1401

Phone

(716) 882-0726

Fax

(716) 882-3484

NPI assigned

May 15, 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 6

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheila M Lekanka, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Buffalo, NY
  • NPI 1528644853
  Medicare reassignment
• Nicole Marie Wise, NP

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1770044398
  Medicare reassignment

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.

• Andrew C. Matteliano, M.D.

  • Specialist
  • Buffalo, NY
  • NPI 1578759049
  NPD (past) Authorized official
• Simmons Orthopaeidc & Spine Associates

  • Physical Therapist
  • Buffalo, NY
  • NPI 1548377583
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1629029418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011401",
            "telephone_number": "716-882-0726",
            "fax_number": "716-882-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011401",
            "telephone_number": "716-882-0726",
            "fax_number": "716-882-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTELIANO",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1598681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WNY",
            "identifier": "005044311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00959297",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020527401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000504431001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "00640512",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "3006860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin L Matson, M.D.
• Joy Helen Matson, RN, BSN
• Tiffany Marie Matson, LCSW
• Stefanie Marie Matta
• Neil Mattai, PHARM.D.
• Nicholas Charles Matteliano, PHARMD
• Ruth M Mattern, MD
• Julia Matteson
• Matthew H Davis LCSW, PLLC
• Matthew Rubacha

• Specialist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.