Organization Active NPI

Matarasso Surgical

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1811430507
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
142557 Issued in NY
Legal business name
MATARASSO SURGICAL
Practice address
1009 Park Ave
New York, NY 10028-0936
Phone
(212) 249-7500
Fax
(212) 628-5000
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Dr. Alan Matarasso, MD, FACS
Title
Owner
Phone
(212) 249-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 142557 NY Primary

Addresses

Primary practice location

1009 Park Ave
New York, NY 10028-0936

Mailing address

1009 Park Ave
New York, NY 10028-0936
Phone (212) 249-7500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1811430507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280936",
            "telephone_number": "212-249-7500",
            "fax_number": "212-628-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280936",
            "telephone_number": "212-249-7500",
            "fax_number": "212-628-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATARASSO SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MATARASSO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-249-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "142557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 29, 2016; 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.