Individual provider Active NPI

Adenela A Matos, M.D

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1891728184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
134203 Issued in NY
Practice address
1110 Eastern Pkwy
Brooklyn, NY 11213-4845
Phone
(718) 735-1900
Fax
(718) 735-4531
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 134203 NY Primary

Addresses

Primary practice location

1110 Eastern Pkwy
Brooklyn, NY 11213-4845

Mailing address

PO Box 26246
Brooklyn, NY 11202-6246
Phone (718) 904-5574

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060106000239 NY Practitioner - General Surgery 8820011752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134203NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Jun 2, 2016 Accepting new patients
Interfaith Professional Physician Services, P.C. Surgery CurrentSince Jun 2, 2016 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Jun 2, 2016 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jan 1, 2021 Accepting new patients

Locations

101 Pennsylvania Ave
Fl 7
Brooklyn, NY 11207
Phone (347) 789-9297

5205 Church Ave
Brooklyn, NY 11203
Phone (718) 342-2500

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-1900

Networks

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

Organizations & group practices 5

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891728184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26246",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112026246",
            "telephone_number": "718-904-5574",
            "fax_number": "718-604-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134845",
            "telephone_number": "718-735-1900",
            "fax_number": "718-735-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "ADENELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "134203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.