Organization Active NPI

Mat Medical Associates, P.C.

  • General Practice Physician
  • Miller Place, NY
National Provider Identifier
1891318754
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MAT MEDICAL ASSOCIATES, P.C.
Practice address
565 Route 25a Ste 4
Miller Place, NY 11764-2663
Phone
(631) 849-4777
Fax
(833) 979-0963
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Dr. David M Margulies, MD
Title
President
Phone
(631) 849-4777

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

565 Route 25a Ste 4
Miller Place, NY 11764-2663

Mailing address

565 Route 25a Ste 4
Miller Place, NY 11764-2663
Phone (631) 849-4777

Other practice location 1

5507 Nesconset Hwy Suite 10 PMB 180
Mount Sinai, NY 11766
Phone (631) 804-7542

National Provider Directory

National Provider Directory

Locations

565 Route 25A
Ste 4
Miller Place, NY 11764
Phone (631) 388-3505

5507 Nesconset Hwy
Ste 10
Mount Sinai, NY 11766
Phone (631) 404-6300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21912/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1891318754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A STE 4",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642663",
            "telephone_number": "631-849-4777",
            "fax_number": "833-979-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ROUTE 25A STE 4",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642663",
            "telephone_number": "631-849-4777",
            "fax_number": "833-979-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5507 Nesconset Hwy Suite 10 PMB 180",
            "address_purpose": "LOCATION",
            "city": "Mount Sinai",
            "state": "NY",
            "postal_code": "11766",
            "country_code": "US",
            "telephone_number": "631-804-7542",
            "fax_number": "631-364-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAT MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "MARGULIES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-849-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.