Individual provider Active NPI

Valeriy A Matatov, M.D.

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1699722736
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
222002-1 Issued in NY
Practice address
7206 7TH Ave
Brooklyn, NY 11209-2617
Phone
(718) 745-1200
Fax
(718) 836-5128
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 222002-1 NY Primary

Addresses

Primary practice location

7206 7TH Ave
Brooklyn, NY 11209-2617

Mailing address

7206 7TH Ave
Brooklyn, NY 11209-2617
Phone (718) 745-1200

Other identifiers 1

IdentifierTypeStateIssuer
02528641MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001202 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2668463928 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 5TH Ave
Brooklyn, NY 11217-2025
Phone (718) 802-1110

7206 7TH Ave
Brooklyn, NY 11209-2617
Phone (718) 745-1200

Hospital & facility affiliations

  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222002-1NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Nov 1, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Comprehensive Women'S Health of N.Y. PLLC PastSince Jan 9, 2009 Accepting new patients

Locations

37 5th Ave
Brooklyn, NY 11217
Phone (347) 987-3966

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: valeriymatatov@mai.allscriptsdirect.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: vam9086@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1699722736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092617",
            "telephone_number": "718-745-1200",
            "fax_number": "718-836-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092617",
            "telephone_number": "718-745-1200",
            "fax_number": "718-836-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATATOV",
        "first_name": "VALERIY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "222002-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02528641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.