Individual provider Active NPI

Matthew L Katcher, LMT, LAC

  • Acupuncturist
  • Long Beach, NY
National Provider Identifier
1629498837
Registry record updated Apr 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004929 Issued in NY
Practice address
55 Monroe Blvd
Apt 3B
Long Beach, NY 11561-4344
Phone
(516) 850-4894
NPI assigned
Apr 27, 2014
Last updated
Apr 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004929 NY Primary
Massage Therapist 225700000X 014016 NY

Addresses

Primary practice location

55 Monroe Blvd
Apt 3B
Long Beach, NY 11561-4344

Mailing address

55 Monroe Blvd
Apt 3B
Long Beach, NY 11561-4344
Phone (516) 850-4894

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

State licenses

LicenseStateTypeSpecialty
004929NYMDAcupuncturist
014016NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398556800000",
    "number": "1629498837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MONROE BLVD",
            "address_2": "APT 3B",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614344",
            "telephone_number": "516-850-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MONROE BLVD",
            "address_2": "APT 3B",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614344",
            "telephone_number": "516-850-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHER",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LMT, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-27",
        "last_updated": "2014-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004929",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "014016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; 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.