Individual provider Active NPI

Jay Matut, MD

  • Obstetrics Physician
  • New York, NY
National Provider Identifier
1760443394
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
201576 Issued in NY
Practice address
90 Maiden LN RM 300
New York, NY 10038-4725
Phone
(646) 290-9560
NPI assigned
Mar 31, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 054294 CT
Obstetrics Physician 207VX0000X 201576 NY Primary

Addresses

Primary practice location

90 Maiden LN RM 300
New York, NY 10038-4725

Mailing address

90 Maiden LN RM 300
New York, NY 10038-4725
Phone (646) 290-9560

Other practice location 1

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (646) 290-9560

Other identifiers 1

IdentifierTypeStateIssuer
01936965MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061003000753 NY Practitioner - Obstetrics/Gynecology 1658376223 Reassigns benefits to 1 organization
I20151028001412 CT Practitioner - Obstetrics/Gynecology 1658376223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054294CTMDObstetrics & Gynecology Physician
201576NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC CurrentSince May 1, 2026 Accepting new patients
St.Uke's - West Care Medical Associates Past Accepting new patients
Allara Medical Group PA Obstetrics & Gynecology Past Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince May 1, 2026 Accepting new patients

Locations

90 Maiden Ln
Fl 3
New York, NY 10038
Phone (646) 290-9560

90 Maiden Ln
Rm 300
New York, NY 10038
Phone (646) 240-4560

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA
  • Direct secure messaging: jmatut@hiemail.healtheconnections.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1760443394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN RM 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384725",
            "telephone_number": "646-290-9560",
            "fax_number": "212-532-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIDEN LN RM 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384725",
            "telephone_number": "646-290-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "646-290-9560",
            "fax_number": "212-532-4362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUT",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "054294",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "201576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01936965",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.