Active NPI
Jennifer Mattar, DO
- Internal Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 334962
- Practice address
- 4488 Onondaga Blvd
Syracuse, NY 13219-3114 - Phone
- (315) 492-5784
- Fax
- (315) 492-5782
- NPI assigned
- Apr 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 334962 | NY | Primary |
Addresses
Primary practice location
4488 Onondaga Blvd
Syracuse, NY 13219-3114
Mailing address
1001 W Fayette St Ste 400
Syracuse, NY 13204-2866
Phone (315) 937-3026
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8948
Other practice location 2
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4488 Onondaga Blvd
Syracuse, NY 13219-3114
Phone (315) 492-5784
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
- Crouse Hospital
- University Hospital S U N Y Health Science Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Syracuse, PC | Current | Accepting new patients | |
| Crouse Health Hospital, Inc. | Current | Accepting new patients | |
| Familycare Medical Group, PC | Internal Medicine | Current | Accepting new patients |
| Crouse Health Hospital Inc | Current | Accepting new patients |
Locations
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
4488 Onondaga Blvd
Syracuse, NY 13219
Phone (315) 492-5784
Interoperability endpoints
- jmattar129943@direct.upstate.edu
- jmattar@fcmg.medentdirect.com
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1841340205
-
- Family Medicine Physician
- Syracuse, NY
- NPI 1447212063
Internal Medicine
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1629061791
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1942942834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042866",
"telephone_number": "315-937-3026",
"fax_number": "315-937-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4488 ONONDAGA BLVD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132193114",
"telephone_number": "315-492-5784",
"fax_number": "315-492-5782"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "315-464-8948",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101602",
"country_code": "US",
"telephone_number": "315-470-7111",
"fax_number": "315-470-2691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTAR",
"first_name": "JENNIFER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "334962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.