Alejandro Matus

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1295 Northern Blvd
Manhasset, NY 11030-3035

Phone

(888) 905-0625

Fax

(866) 651-0366

NPI assigned

Sep 8, 2020

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1790399608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 QUAKER RIDGE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303333",
            "telephone_number": "917-304-3316",
            "fax_number": "718-228-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 NORTHERN BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303035",
            "telephone_number": "888-905-0625",
            "fax_number": "866-651-0366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 Northern Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303022",
            "country_code": "US",
            "telephone_number": "917-304-3316",
            "fax_number": "718-228-9392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUS",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Matos, MD
• Matthew Sexton LCSW PLLC
• Soley Matthews, NP
• Paul J Mattis, PHD
• Alisha Mattondo
• Jonathan K Mau, MD
• Adam W Mauer, MD
• Simon Maybaum, MD
• Sarah Anne Aguilar Mayo
• Evgenia Mayvaldov, NP

• Durable Medical Equipment & Medical Supplies in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.