Active NPI
Bogdan Alexandru Matache, MD CM, FRCSC
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1649811100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 297502
- Practice address
- NYU Langone Medical Center
550 First Ave.
New York, NY 10016 - Phone
- (212) 263-5506
- NPI assigned
- Oct 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2975021 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 297502 | NY | Primary |
Addresses
Primary practice location
NYU Langone Medical Center
550 First Ave.
New York, NY 10016
Mailing address
848 Lorimer St Apt 4E
Brooklyn, NY 11222-3912
Phone (917) 981-1062
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2975021 | NY | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- bmatache309402@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1649811100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 LORIMER ST APT 4E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112223912",
"telephone_number": "917-981-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NYU LANGONE MEDICAL CENTER",
"address_2": "550 FIRST AVE.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-263-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATACHE",
"first_name": "BOGDAN",
"middle_name": "ALEXANDRU",
"name_prefix": "Dr.",
"credential": "MD CM, FRCSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "2975021",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "297502",
"primary": true
}
],
"identifiers": [],
"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 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.