Active NPI
Matarasso Surgical
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1811430507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 142557
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.