Active NPI
Manuel Matos, M.D.
- Hospitalist Physician
- Rochester, NY
National Provider Identifier
1770527533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 182737
- Practice address
- 1555 Long Pond Rd
Dept. of Medicine-Hospitalist
Rochester, NY 14626-4122 - Phone
- (585) 723-7870
- Fax
- (585) 723-7871
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 182737 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 182737 | NY |
Addresses
Primary practice location
1555 Long Pond Rd
Dept. of Medicine-Hospitalist
Rochester, NY 14626-4122
Mailing address
1555 Long Pond Rd
Dept. of Medicine-Hospitalist
Rochester, NY 14626-4122
Phone (585) 723-7870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01253896 | Medicaid | NY | |
| 182737 7W CIM | Other | NY | WORKER'S COMPENSATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmatos@rochesterregional.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1770527533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"address_2": "DEPT. OF MEDICINE-HOSPITALIST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-723-7870",
"fax_number": "585-723-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"address_2": "DEPT. OF MEDICINE-HOSPITALIST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-723-7870",
"fax_number": "585-723-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "182737",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "182737",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01253896",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "182737 7W CIM",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmatos@rochesterregional.org",
"affiliation": "N",
"address_1": "1555 Long Pond Rd",
"address_2": "Dept. of Medicine-Hospitalist",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146264122",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.