NPIMap

Individual provider Active NPI

Matthew Gotlin, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
National Provider Identifier
1891141560
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
304152 Issued in NY
Practice address
159 E 74TH St
New York, NY 10021-3235
Phone
(212) 737-3301
NPI assigned
May 11, 2016
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 304152 NY Primary

Addresses

Primary practice location

159 E 74TH St
New York, NY 10021-3235

Mailing address

2 Overhill Rd Ste 310
Scarsdale, NY 10583-5316
Phone (212) 737-3301

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220823003497 NY Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8628362001 Reassigns benefits to 1 organization
I20220824000959 NJ Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8628362001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

1124 E Ridgewood Ave
201 Ny Orthopedics
Ridgewood, NJ 07450-3943
Phone (201) 447-1188

2 Overhill Rd
Suite 330
Scarsdale, NY 10583-5326
Phone (212) 737-3301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304152NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC Sports Medicine CurrentSince Sep 1, 2022 Accepting new patients
Stephen J Nicholas MD PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1124 E Ridgewood Ave
Ste 201
Ridgewood, NJ 07450
Phone (201) 447-1188

162 E Route 59
Nanuet, NY 10954
Phone (845) 694-8808

159 E 74th St
New York, NY 10021
Phone (212) 439-9302

159 E 74th St
Fl 2
New York, NY 10021
Phone (212) 249-7790

200 W 13th St
#6
New York, NY 10011

200 W 13th St
Fl 6
New York, NY 10011
Phone (646) 665-6784

2 Overhill Rd
Scarsdale, NY 10583
Phone (212) 506-0236

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

2 Overhill Rd
Ste 330
Scarsdale, NY 10583
Phone (914) 725-1800

Networks

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

Interoperability endpoints

  • Direct secure messaging: matthew.gotlin.1@11998.direct.athenahealth.com
  • Direct secure messaging: mgotlin67196@northwell.direct-ci.com
  • Direct secure messaging: mgotlin676171@nychhc.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1891141560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD STE 310",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835316",
            "telephone_number": "212-737-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213235",
            "telephone_number": "212-737-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTLIN",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "304152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.