Active NPI
Valeriy A Matatov, M.D.
- Pulmonary Disease Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 222002-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02528641 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222002-1 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prominis Medical Services PC | Current | 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 | Past | 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
- valeriymatatov@mai.allscriptsdirect.net
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- vam9086@direct.nyp.org
- 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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841323771
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Obstetrics & Gynecology Physician
- Glendale, NY
- NPI 1982736047
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1114557931
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.