Active NPI
Matthew Miskimon, M.D., PH.D.
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 260998
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0550361 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, MI, RI, MA, NH, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
- Monadnock Community Hospital
- South County Hospital Inc
- Our Lady of Lourdes Memorial Hospital, Inc
- Bayshore Medical Center
- Griffin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.17 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Department Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of New England PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Observation Emergency Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Buffalo Emergency Associates LLP | Emergency Medicine | Current | Accepting new patients |
| New Hampshire Emergency Physician Associates PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Plainfield Emergency Physicians, PA | Emergency Medicine | Current | Accepting new patients |
| Exigence Medical of Binghamton PLLC | Current | Accepting new patients | |
| Emergency Physician Associates of Massachusetts PC | Emergency Medicine | Current | Accepting new patients |
| Middlesex Emergency Physicians, P.a. | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Connecticut PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Michigan, P.C. | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Wakefield, RI
- NPI 1427381052
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1902278906
-
- Emergency Medicine Physician
- Wolfeboro, NH
- NPI 1629578000
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Emergency Medical Services (Emergency Medicine) Physician
- Binghamton, NY
- NPI 1659464758
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medicine Physician
- Worcester, MA
- NPI 1730885252
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Emergency Medicine Physician
- Dearborn, MI
- NPI 1952740656
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Holmdel, NJ
- NPI 1740907336
Hospital
-
dba Bayshore Community Hospital
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.