Dana Materia, ANCC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F334092 Issued in NY

Practice address

1147 Richmond Rd
Staten Island, NY 10304-2423

Phone

(718) 816-9056

Fax

(718) 816-1165

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Physicians Group Endocrinology PLLCGroup PAC ID 4688913155, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: danamateria@eaghnifhp-ny.direct.office.nextgen.com

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.

• University Physicians Group Endocrinology PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Staten Island, NY
  • NPI 1366906588
  Medicare reassignment Care Compare group NPD
• E & G Heathcare, N.P. in Family Health P.L.L.C.

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1265841894
  Medicare reassignment NPD
• M&G Medical PC

  • General Practice Physician
  • Staten Island, NY
  • NPI 1689978231
  NPD (past)
• University Physicians Group P C

  • General Practice Physician
  • Staten Island, NY
  • NPI 1104872134
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1740263839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWATER ST",
            "address_2": "6TH FL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054900",
            "telephone_number": "718-226-1047",
            "fax_number": "718-226-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042423",
            "telephone_number": "718-816-9056",
            "fax_number": "718-816-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATERIA",
        "first_name": "DANA",
        "credential": "ANCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F334092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02427301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gianna Faith Matarese
• Dominick Matarrese
• Lisa Matelle, CASAC-T
• Emily Marie Mateo
• Diane Matera
• Matthew Mathai, PA-C
• Soniya Mathai, FNP-BC
• Abraham Mathew, LCSW
• Ashley Mathew
• Ashley Mathew, LMSW

• Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.

Verify at the official NPI Registry.