Individual provider Active NPI

Ayman Matta, MD

  • Ophthalmology Physician
  • Orangeburg, NY
National Provider Identifier
1841288388
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
215965-1 Issued in NY
Practice address
99 Dutch Hill Rd
Orangeburg, NY 10962-2185
Phone
(845) 359-7272
Fax
(845) 680-6731
NPI assigned
Oct 10, 2005
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 215965-1 NY
Ophthalmology Physician 207W00000X 215965-1 NY Primary

Addresses

Primary practice location

99 Dutch Hill Rd
Orangeburg, NY 10962-2185

Mailing address

99 Dutch Hill Rd
Orangeburg, NY 10962-2185
Phone (845) 359-7272

Other practice location 1

111 Wadsworth Ave
New York, NY 10033
Phone (845) 359-7272

Other practice location 2

75 Crystal Run Rd Ste 102
Middletown, NY 10941
Phone (845) 359-7066

Other identifiers 13

IdentifierTypeStateIssuer
215965OtherNYHIP ID #
3C6549OtherNYHEALTHNET ID #
3471925OtherNYAETNA HMO ID #
455A61OtherNYEMPIRE BCBS OF NY ID #
000000056446OtherNYGHI MEDICAID ID #
0498447OtherNYGHI PPO ID #
7733286OtherNYAETNA PPO ID #
02215396MedicaidNY
10059047OtherNYCDPHP ID #
41206000018OtherNYFIDELIS ID #
P3302156OtherNYOXFORD ID #
U70433OtherNYAMERIHEALTH ADMINISTRATOR
H20323OtherNYUPIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040414000166 NY Practitioner - Ophthalmology 8820082639 Reassigns benefits to 4 organizations
I20070507000079 NJ Practitioner - Ophthalmology 8820082639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
Ophthalmology Associates of Staten Island PCGroup PAC ID 0749179075, 5 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

133 N Kinderkamack Rd
Montvale, NJ 07645-1313
Phone (201) 307-4810

1460 Victory Blvd
Staten Island, NY 10301-3914
Phone (718) 447-0022

417 E 138 St
Bronx, NY 10454-3004
Phone (845) 359-7272

75 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

95 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

99 Dutch Hill Rd
Orangeburg, NY 10962-2185
Phone (845) 355-9727

Merit-based Incentive Payment System (MIPS)

Final score
11.24 of 100Reported as individual
Quality
15
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery247
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215965-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of Staten Island PC Specialist CurrentSince Jun 1, 2022 Accepting new patients
Opthalmology Assoc of Statien Island Dba Bridge Opticians CurrentSince Jun 1, 2022 Accepting new patients
Middletown Medical PC CurrentSince Aug 6, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 29, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 29, 2019 Accepting new patients
City Medical Physician PC Ophthalmology CurrentSince Mar 9, 2024 Accepting new patients
Eye Centers of America, LLC Ophthalmology CurrentSince Aug 26, 2022 Accepting new patients
Middletown Medical PC Ophthalmology CurrentSince Aug 6, 2024 Accepting new patients
New York Eye Institute Optical Ophthalmology Past Accepting new patients
John R. Kearney, MD, Eye Physician & Surgeon, PC Ophthalmology Past Accepting new patients
The New York Eye & Ear Infirmary Ophthalmology Associates, P.C. Specialist Past Accepting new patients

Locations

108 Broughton Ave
Bloomfield, NJ 07003
Phone (973) 743-1331

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

1033 US Highway 46
Ste 105
Clifton, NJ 07013
Phone (973) 949-5777

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

417 E 138th St
Bronx, NY 10454
Phone (917) 642-1035

111 Maltese Dr
Middletown, NY 10940

99 Dutch Hill Rd
Orangeburg, NY 10962
Phone (845) 355-9727

1460 Victory Blvd
Staten Island, NY 10301
Phone (718) 273-8100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: amatta@oasi.direct.eyemdemr.com
  • FHIR API: https://api.platform.athenahealth.com/19757/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1841288388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622185",
            "telephone_number": "845-359-7272",
            "fax_number": "845-680-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622185",
            "telephone_number": "845-359-7272",
            "fax_number": "845-680-6731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Wadsworth Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10033",
            "country_code": "US",
            "telephone_number": "845-359-7272",
            "fax_number": "845-680-6731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Crystal Run Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "10941",
            "country_code": "US",
            "telephone_number": "845-359-7066",
            "fax_number": "845-692-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTA",
        "first_name": "AYMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "215965-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "215965-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP ID #",
            "identifier": "215965",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID #",
            "identifier": "3C6549",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ID #",
            "identifier": "3471925",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS OF NY ID #",
            "identifier": "455A61",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICAID ID #",
            "identifier": "000000056446",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO ID #",
            "identifier": "0498447",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO ID #",
            "identifier": "7733286",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02215396",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP ID #",
            "identifier": "10059047",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS ID #",
            "identifier": "41206000018",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "P3302156",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "U70433",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "H20323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.