Jose Raphael Matos, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

032156 Issued in NY

Practice address

11 Broadway Ste 433
New York, NY 10004-1303

Phone

(914) 792-8109

NPI assigned

Nov 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1750983094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 433",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041303",
            "telephone_number": "914-792-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 433",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041303",
            "telephone_number": "914-792-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "JOSE",
        "middle_name": "RAPHAEL",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Matos
• Eileen Frances Matos, LCSW
• Elianet J Matos, NP
• Erika Matos
• Jeffrey Aaron Matos, M.D
• Orleida Matos
• Zoila Yudith Matos, RD
• Kareen Marie Matouk, PH.D.
• Alyssa Coppa Matra, CNS
• Cathleen Matrai, M.D.

• Massage Therapist in New York, NY
• Providers in New York, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.