Individual provider Active NPI

Matthew Paolino

  • Physician Office Based Coding Specialist
  • South Setauket, NY
National Provider Identifier
1922583822
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician Office Based Coding SpecialistTaxonomy code 246YC3302X
Practice address
10 Tyburn LN
South Setauket, NY 11720-1428
Phone
(516) 698-5511
NPI assigned
Sep 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Office Based Coding Specialist 246YC3302X Primary

Addresses

Primary practice location

10 Tyburn LN
South Setauket, NY 11720-1428

Mailing address

10 Tyburn LN
South Setauket, NY 11720-1428
Phone (516) 698-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Counselors, LCSW, PLLC Past Accepting new patients
Visiting Counselors of New York, LCSW, PLLC PastSince Mar 12, 2018 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1922583822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TYBURN LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201428",
            "telephone_number": "516-698-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TYBURN LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201428",
            "telephone_number": "516-698-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINO",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246YC3302X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.