Roza Matatova

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F352257-01 Issued in NY

Practice address

1171 Ocean Pkwy Apt 3a
Brooklyn, NY 11230-4024

Phone

(347) 891-5226

NPI assigned

Apr 28, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1902283922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302247",
            "telephone_number": "347-891-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 OCEAN PKWY APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304024",
            "telephone_number": "347-891-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATATOVA",
        "first_name": "ROZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "NY",
            "license": "692844",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352257-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Matatov
• Elli Jacob Matatov
• Rafail B Matatov, RPH
• Valeriy A Matatov, M.D.
• Irina Matatova, FNP
• Yelena Matatova
• Mataybo Medical PLLC
• Gulya Matayeva
• Mira Matayeva, PHARM.D.
• Maia Matcharashvili

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.