Kenneth F Mattucci MDPC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

096685 Issued in NY

Legal business name

KENNETH F MATTUCCI MDPC

Practice address

29 Barstow Rd
Great Neck, NY 11021-2209

Phone

(516) 482-7690

Fax

(516) 482-4122

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth F Mattucci, MD

Title

Pres

Phone

(516) 482-7960

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Colleen Oleksiak Decuir

  • Audiologist
  • Great Neck, NY
  • NPI 1831348531
  NPD (past)
• Ronald A Levy, MD

  • Otolaryngology Physician
  • Great Neck, NY
  • NPI 1760498042
  NPD (past)
• Vicki-Ann Silver, AU.D

  • Audiologist-Hearing Aid Fitter
  • Great Neck, NY
  • NPI 1902073927
  NPD (past)
• Rachel Vasquez-Wiiliams, AUD

  • Audiologist
  • Roslyn, NY
  • NPI 1457450900
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1790920312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-482-7690",
            "fax_number": "516-482-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-482-7690",
            "fax_number": "516-482-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH F MATTUCCI MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "MATTUCCI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-482-7960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "096685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Kelley
• Rebecca Kellner, MD
• Nina Kello
• Nava Kendil
• William Aloysius Kennedy III, M.D.
• Kenneth J Rosenthal MD PC
• Kenneth Kahaner M.D.
• Joanie Marie Kerekes, PT, DPT
• Diana Kerievsky, LCSW
• Jack Kern, DDS

• Otolaryngology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.