Salim a Matar MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

191264 Issued in NY

Legal business name

SALIM A MATAR MD PC

Practice address

640 Belle Terre Rd
Building C
Port Jefferson, NY 11777-1936

Phone

(631) 928-7750

Fax

(631) 928-7867

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Salim A Matar, M.D.NPI 1609891571

Title

President

Phone

(631) 928-7750

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salim A Matar, MD

  • Specialist
  • Port Jefferson, NY
  • NPI 1609891571
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1700195351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BELLE TERRE RD",
            "address_2": "BUILDING C",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771936",
            "telephone_number": "631-928-7750",
            "fax_number": "631-928-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BELLE TERRE RD",
            "address_2": "BUILDING C",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771936",
            "telephone_number": "631-928-7750",
            "fax_number": "631-928-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIM A MATAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "MATAR",
        "authorized_official_first_name": "SALIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-928-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "191264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Lynn Ruggiero
• Pattianne Ruppel, P.T.
• John C Rutter, D.D.S
• Jennifer Sabella, OCCUPATIONAL THERAP
• Gisou Saffari, LMT
• Samantha Marzano LCSW PC
• Lisa Marie Sammarco, FNP
• Christine Ann Sammy, MS
• Samuel Brown DO, PC
• Kelly Conrad Sanchez, LMFT

• Otolaryngology Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.