Organization Active NPI

Matthew Dounel MD MPH PLLC

  • Physical Medicine & Rehabilitation Physician
  • Bayside, NY
National Provider Identifier
1962897710
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MATTHEW DOUNEL MD MPH PLLC
Practice address
22215 Northern Blvd Ste Lobbya
Bayside, NY 11361-3678
Phone
(718) 309-4000
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Matthew Dounel, MD MPHNPI 1326280645
Title
Physician
Phone
(718) 309-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X

Addresses

Primary practice location

22215 Northern Blvd Ste Lobbya
Bayside, NY 11361-3678

Mailing address

72-11 Austin St
MB #230
Forest Hills, NY 11375
Phone (718) 309-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150828001060 NY Part B Supplier - Clinic/Group Practice 4880900372 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Port Washington, NY; Manhasset, NY; Forest Hills, NY; Flushing, NY; Bronx, NY; Bayside, NY; New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

4499 Manhattan College Pkwy
Bronx, NY 10471
Phone (718) 548-5100

3516 Francis Lewis Blvd
Unit A
Flushing, NY 11358
Phone (718) 428-3500

Practitioners & affiliated clinicians

Practitioners 2

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": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1962897710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72-11 AUSTIN ST",
            "address_2": "MB #230",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-309-4000",
            "fax_number": "718-744-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22215 NORTHERN BLVD STE LOBBYA",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613678",
            "telephone_number": "718-309-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW DOUNEL MD MPH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "DOUNEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-309-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.