Individual provider Active NPI

Matthew Jason Dashkoff, MD

  • Pediatrics Physician
  • Newburyport, MA
National Provider Identifier
1942889407
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1020155 Issued in MA
Practice address
257 Low St
Newburyport, MA 01950-3556
Phone
(978) 465-7121
NPI assigned
Apr 2, 2021
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X NY
Pediatrics Physician 208000000X 1020155 MA Primary

Addresses

Primary practice location

257 Low St
Newburyport, MA 01950-3556

Mailing address

257 Low St
Newburyport, MA 01950-3556
Phone (978) 465-7121

Other practice location 1

1001 Main St Fl 5
Buffalo, NY 14203-1009
Phone (716) 323-0031

Other practice location 2

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1020155MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Gynecologists & Obstetricians,Inc. CurrentSince Jul 24, 2022 Accepting new patients
University at Buffalo Pediatric Associates Inc Pediatrics CurrentSince Dec 18, 2022 Accepting new patients
Children's Healthcare Inc Pediatrics Past Accepting new patients

Locations

1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

Interoperability endpoints

  • Direct secure messaging: mdashkoff@apa.medentdirect.com

Organizations & group practices 3

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1942889407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503556",
            "telephone_number": "978-465-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503556",
            "telephone_number": "978-465-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Main St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031009",
            "country_code": "US",
            "telephone_number": "716-323-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Ellicott St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031021",
            "country_code": "US",
            "telephone_number": "716-323-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASHKOFF",
        "first_name": "MATTHEW",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1020155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

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