Organization Active NPI

Matteo Chiropractic & Physical Therapy PLLC

  • Chiropractor
  • College Point, NY
National Provider Identifier
1922348598
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5372 Issued in NY
Legal business name
MATTEO CHIROPRACTIC & PHYSICAL THERAPY PLLC
Practice address
12910 23Rd Ave
College Point, NY 11356-2710
Phone
(718) 463-1166
Fax
(718) 463-1081
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Dr. Richard Matteo, D.C.
Title
President
Phone
(718) 463-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5372 NY Primary

Addresses

Primary practice location

12910 23Rd Ave
College Point, NY 11356-2710

Mailing address

12910 23Rd Ave
College Point, NY 11356-2710
Phone (718) 463-1166

National Provider Directory

National Provider Directory

Locations

12910 23rd Ave
College Point, NY 11356
Phone (718) 463-1166

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1922348598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 23RD AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562710",
            "telephone_number": "718-463-1166",
            "fax_number": "718-463-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 23RD AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562710",
            "telephone_number": "718-463-1166",
            "fax_number": "718-463-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTEO CHIROPRACTIC & PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MATTEO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-463-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "5372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.