Marina Matatova, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

259160 Issued in NY

Practice address

4037 74TH St
Elmhurst, NY 11373-5603

Phone

(718) 651-7000

Fax

(718) 606-8966

NPI assigned

Sep 21, 2011

Last updated

Nov 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Dermatology

Education

New York College of Osteo Medicine of New York Institute of Technology, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BB Medical and Dermatology IncGroup PAC ID 8123396447, 5 clinicians

City Central Dermatology PLLCGroup PAC ID 9335317346, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellevue Hospital Center Hospital, New York, NY, CCN 330204

Merit-based Incentive Payment System (MIPS)

Final score

92.76 of 100Reported as group

Quality

96.13

Promoting interoperability

100

Improvement activities

40

Cost

79.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: mmatatova679183@nychhc.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

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.

• BB Medical and Dermatology Inc

  dba BB medical and dermatology

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1790210516
  Medicare reassignment Care Compare group NPD
• City Central Dermatology PLLC

  • Specialist
  • Elmhurst, NY
  • NPI 1780977579
  Medicare reassignment Care Compare group NPD
• Children's Skin and Laser, PC

  dba Brooklyn Dermatology

  • Pediatric Dermatology Physician
  • Brooklyn, NY
  • NPI 1265618532
  Medicare reassignment NPD
• Bobby Buka, M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1134349954
  NPD
• Marina Matatova DO PC

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1578148185
  NPD
• Meb Dermatology

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1932081999
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York City Health and Hospitals Corporation

  dba Bellevue Hospital Center

  • General Acute Care Hospital
  • New York, NY
  • NPI 1073535027
  Care Compare affiliation

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1881977304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 74TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735603",
            "telephone_number": "718-651-7000",
            "fax_number": "718-606-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 74TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735603",
            "telephone_number": "718-651-7000",
            "fax_number": "718-606-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATATOVA",
        "first_name": "MARINA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "259160",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "259160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Mashall, PA-C
• Makrous M Mashreky, NP
• Helene Masnick-Friedman, LMSW
• Dev Rashmin Master, MD
• Kalpana Rashmin Master, MD
• Yelena Matatova
• Benson Mathew
• Philip P Mathew, M.D
• Suraj Mathial, P.A
• Claudia Solange Matos, LMSW

• Dermatology Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.