Organization Active NPI

Matthew a. Delmauro, M.D. PLLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1720622467
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MATTHEW A. DELMAURO, M.D. PLLC
Practice address
590 5TH Ave Ste 1106
New York, NY 10036-4702
Phone
(212) 466-6696
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Matthew Adam Delmauro, MDNPI 1720422579
Title
Physician
Phone
(513) 313-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

590 5TH Ave Ste 1106
New York, NY 10036-4702

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
05794858MedicaidNY

Other names 1

  • Body Sculpting Center of NYC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217000755 NY Part B Supplier - Clinic/Group Practice 4284061086 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1720622467",
    "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": "590 5TH AVE STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364702",
            "telephone_number": "212-466-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A. DELMAURO, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "DELMAURO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-313-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05794858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Sculpting Center of NYC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.