Individual provider Active NPI

Matthew Adam Delmauro, M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1720422579
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
278130 Issued in NY
Practice address
120 E 56TH St Ste 800
New York, NY 10022-3607
Phone
(734) 707-7514
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 278130 NY Primary

Addresses

Primary practice location

120 E 56TH St Ste 800
New York, NY 10022-3607

Mailing address

2052 31St St Apt A1
Astoria, NY 11105-2549
Phone (513) 313-6010

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
I20190724002979 NY Practitioner - Plastic and Reconstructive Surgery 3375887961 Reassigns benefits to 3 organizations
Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278130NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Physician PLLC CurrentSince Sep 1, 2020 Accepting new patients
Mobile Medical Doc. P.C. CurrentSince Dec 22, 2019 Accepting new patients
Matthew a. Delmauro, M.D. PLLC Plastic Surgery CurrentSince Dec 7, 2019 Accepting new patients
Focus Medical Health PLLC Past Accepting new patients

Locations

405 Carlton Ave
Brooklyn, NY 11238
Phone (718) 444-3274

4142 College Point Blvd
Ste 2A
Flushing, NY 11355
Phone (718) 939-6234

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

983 Park Ave
New York, NY 10028
Phone (212) 288-6780

120 E 56th St
Rm 800
New York, NY 10022
Phone (212) 517-5600

590 5th Ave
Ste 1106
New York, NY 10036
Phone (212) 466-6696

Interoperability endpoints

  • Direct secure messaging: mtd9033@direct.nyp.org
  • Direct secure messaging: mdelmauro67961@northwell.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1720422579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 31ST ST APT A1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052549",
            "telephone_number": "513-313-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST STE 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223607",
            "telephone_number": "734-707-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMAURO",
        "first_name": "MATTHEW",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "278130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.