Michael John Matty, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012452-1 Issued in NY

Practice address

2 Drew LN
Center Moriches, NY 11934-2827

Phone

(631) 742-1692

NPI assigned

Jan 6, 2014

Last updated

Jan 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Timothy D. Groth MD PCGroup PAC ID 8921002320, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Timothy D. Groth MD PC

  • Multi-Specialty Clinic/Center
  • Smithtown, NY
  • NPI 1720022015
  Medicare reassignment Care Compare group NPD
• Sayville Medical and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Sayville, NY
  • NPI 1134659386
  Medicare reassignment NPD
• Riverhead Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Massapequa, NY
  • NPI 1912519455
  NPD
• Setauket Medical & Rehabilitation PC

  dba Thrive Medical of Setauket

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Setauket, NY
  • NPI 1811509409
  NPD
• Westhampton Medical & Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Westhampton Beach, NY
  • NPI 1013529551
  NPD

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1699197996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DREW LN",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342827",
            "telephone_number": "631-742-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DREW LN",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342827",
            "telephone_number": "631-742-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred James Maerkle, LCSW
• Toni Mangogna, LMSW
• Jessica A Marangio, R.N.
• Jeni Martinez-Rios
• Katherine Martinez, LPN
• Susan Patricia Mazur-Cahill, LPN
• Charlene E McAleavey, LMSW, CASAC
• Daniel Joseph McCarthy, DMD
• Kelly Noel McCauley, LMSW
• Pamela Anne McDonald, SLP

• Chiropractor in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.