Individual provider Active NPI

Robert Matalon, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1730114463
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
094662 Issued in NY
Practice address
323 E 34TH St FL 2
New York, NY 10016-4974
Phone
(212) 263-7239
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 094662 NY Primary

Addresses

Primary practice location

323 E 34TH St FL 2
New York, NY 10016-4974

Mailing address

323 E 34TH St FL 2
New York, NY 10016-4974
Phone (212) 263-7239

Other identifiers 2

IdentifierTypeStateIssuer
004238453MedicaidNY
A400107956OtherNYMEDICARE

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
I20120329000538 NY Practitioner - Internal MedicinePractitioner - Nephrology 0345158507 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
New York University School of Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Manhattan PCGroup PAC ID 8224927660, 6 clinicians

Practice addresses (Care Compare)

317 E 34TH St
New York, NY 10016-4974
Phone (212) 889-0770

323 E 34TH St
New York, NY 10016-4974
Phone (212) 889-0770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Matalon MD PC CurrentSince Apr 16, 2014 Accepting new patients
L-M Dialysis Corp Current Accepting new patients
Nephrology Associates of Manhattan PC CurrentSince May 23, 1985 Accepting new patients
Albert Matalon MD PC Nephrology Past Accepting new patients
Robert Matalon, M.D. Nephrology Past Accepting new patients
River Renal Services, Inc. PastSince May 22, 2009 Accepting new patients
Lower Manhattan Dialysis Center PastSince May 6, 1985 Accepting new patients

Locations

317 E 34th St
Fl 2
New York, NY 10016

323 E 34th St
Fl 2
New York, NY 10016
Phone (212) 263-7239

323 E 34th St
Fl Seconf
New York, NY 10016
Phone (212) 263-7239

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

530 1st Ave
Ste 4A
New York, NY 10016
Phone (212) 263-7131

Interoperability endpoints

  • Direct secure messaging: rmatalon43854@nyumc.direct-ci.com

Organizations & group practices 7

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 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1730114463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E 34TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164974",
            "telephone_number": "212-263-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E 34TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164974",
            "telephone_number": "212-263-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATALON",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "094662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004238453",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400107956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.