Individual provider Active NPI

Matthew Miskimon, M.D., PH.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1649401829
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
260998 Issued in MA
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(212) 263-7300
Fax
(212) 263-7002
NPI assigned
Aug 5, 2009
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD16193 RI
Emergency Medicine Physician 207P00000X 260998 MA Primary
Emergency Medicine Physician 207P00000X 25MA09507700 NJ
Emergency Medicine Physician 207P00000X 18809 NH
Emergency Medicine Physician 207P00000X MD451632 PA
Emergency Medicine Physician 207P00000X 4301104712 MI

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

42 Powder View CT
Nottingham, MD 21236-4796
Phone (410) 530-7327

Other practice location 1

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

Other practice location 2

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000

Other practice location 3

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

Other identifiers 1

IdentifierTypeStateIssuer
0550361MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MI, RI, MA, NH, CT7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20141020000979 NY Practitioner - Emergency Medicine 8527286061 Reassigns benefits to 4 organizations
I20160902001059 NJ Practitioner - Emergency Medicine 8527286061 Reassigns benefits to 4 organizations
I20170613002101 MI Practitioner - Emergency Medicine 8527286061 Reassigns benefits to 3 organizations
I20191223001691 RI Practitioner - Emergency Medicine 8527286061 Reassigns benefits to 1 organization
I20230517002931 MA Practitioner - Emergency Medicine 8527286061 Reassigns benefits to 1 organization
I20231003000870 NH Practitioner - Emergency Medicine 8527286061 Reassigns benefits to 1 organization
I20250813002948 CT Practitioner - Emergency Medicine 8527286061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Johns Hopkins University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of New England PCGroup PAC ID 9931236395, 21 clinicians
Emergency Physicians of Connecticut PCGroup PAC ID 8820390214, 30 clinicians
New Hampshire Emergency Physician Associates PCGroup PAC ID 2668735580, 25 clinicians
Emergency Physician Associates of North Jersey P CGroup PAC ID 7911992326, 125 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

130 Division St
Derby, CT 06418-1326
Phone (203) 735-7421

240 S Main St
Wolfeboro, NH 03894-4411
Phone (856) 686-4316

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Emergency Physician Associates of New England PC Emergency Medicine CurrentSince Oct 22, 2019 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
New Hampshire Emergency Physician Associates PC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince Aug 1, 2014 Accepting new patients
Emergency Physician Associates of Massachusetts PC Emergency Medicine CurrentSince May 25, 2023 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Jul 2, 2016 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Emergency Physicians of Connecticut PC Emergency Medicine CurrentSince May 31, 2025 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

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

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

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

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

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

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

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

Interoperability endpoints

  • Direct secure messaging: mmiskimon196900@direct-guthrie.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1649401829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 POWDER VIEW CT",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364796",
            "telephone_number": "410-530-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-7300",
            "fax_number": "212-263-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kenyon Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794216",
            "country_code": "US",
            "telephone_number": "401-782-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026358",
            "country_code": "US",
            "telephone_number": "508-383-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISKIMON",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD16193",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "260998",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09507700",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "18809",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD451632",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301104712",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550361",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.