Individual provider Active NPI

Bogdan Alexandru Matache, MD CM, FRCSC

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1649811100
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
297502 Issued in NY
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

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2975021NYMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.