Kristin Elizabeth Mateiko

Primary specialty

SpecialistTaxonomy code 174400000X

License

659218121 Issued in NY

Practice address

67-25 188TH St
Little Meadows
Fresh Meadows, NY 11365

Phone

(718) 454-6460

NPI assigned

Oct 16, 2012

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Karen Rothschild OT, LLC

  • Occupational Therapist
  • Fresh Meadows, NY
  • NPI 1194245134
  NPD (past)
• Little Meadows Early Childhood Center

  • Early Intervention Provider Agency
  • Fresh Meadows, NY
  • NPI 1811147978
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1912250903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PARK AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832331",
            "telephone_number": "516-993-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-25 188TH ST",
            "address_2": "LITTLE MEADOWS",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-454-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEIKO",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "659218121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazal Margarita Matayev, M.A.CCC-SLP
• Raisa Matayev, PA
• Sarah N Matayev, MA SLP-TSSLD
• Ella Matayeva
• Violetta Matayeva
• Lainie Jesmarion Mateo
• Seena Mathunney
• Mylene Matro, PT
• Antoinette Matye
• Manio Nicole Mavroukas

• Specialist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.