Organization Active NPI

Takashi Matsuki MD LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
National Provider Identifier
1790405173
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
TAKASHI MATSUKI MD LLC
Practice address
5 W 86TH St Apt 1a
New York, NY 10024-3663
Phone
(201) 809-3508
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Laletha Shabazz
Title
Billing Specialist
Phone
(201) 809-3508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

5 W 86TH St Apt 1a
New York, NY 10024-3663

Mailing address

1 Bridge PLZ N Ste 675
Fort Lee, NJ 07024-7112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address takashi.matsuki@transpacificwellcare.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1790405173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 675",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 86TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243663",
            "telephone_number": "201-809-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKASHI MATSUKI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "SHABAZZ",
        "authorized_official_first_name": "LALETHA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "201-809-3508"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "takashi.matsuki@transpacificwellcare.com",
            "affiliation": "N",
            "address_1": "5 W 86th St Apt 1A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100243663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.