Individual provider Active NPI

Heideh Husseinzadeh Matterson, M.D.

  • Neonatal-Perinatal Medicine Physician
  • New York, NY
National Provider Identifier
1912148040
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
264185-1 Issued in NY
Practice address
550 First Ave.
NYU Langone Medical Center
New York, NY 10016
Phone
(513) 673-6071
NPI assigned
Mar 19, 2009
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 264185-1 NY Primary

Addresses

Primary practice location

550 First Ave.
NYU Langone Medical Center
New York, NY 10016

Mailing address

40 Waterside PLZ Apt 28F
New York, NY 10010-2638
Phone (513) 673-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240924003626 NJ Practitioner - Pediatric Medicine 1951734482 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264185-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Specialty Care PC Current Accepting new patients
Hunterdon Specialty Care PC CurrentSince Jul 5, 2024 Accepting new patients
Hunterdon Specialty Care CurrentSince Jul 5, 2024 Accepting new patients
Hunterdon Specialty Care, PC Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients

Locations

1121 Route 22
Ste 202
Bridgewater, NJ 08807
Phone (908) 237-4105

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

2100 Wescott Dr
Fl 5
Flemington, NJ 08822
Phone (908) 237-2315

215 State Route 31
#116
Flemington, NJ 08822

Networks

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

Interoperability endpoints

  • Direct secure messaging: hmatterson1126873@nychhc.direct-ci.com
  • Direct secure messaging: hmatterson189964@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1912148040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WATERSIDE PLZ APT 28F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102638",
            "telephone_number": "513-673-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FIRST AVE.",
            "address_2": "NYU LANGONE MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "513-673-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERSON",
        "first_name": "HEIDEH",
        "middle_name": "HUSSEINZADEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "264185-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.