Diana Matta DPM PLLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

DIANA MATTA DPM PLLC

Practice address

1957 Williamsbridge Rd
Bronx, NY 10461-1604

Phone

(845) 590-3408

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Diana MattaNPI 1003974684

Title

DPM

Phone

(845) 590-3408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Diana Matta, DPM

  • Specialist
  • New York, NY
  • NPI 1003974684
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1972198695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109770277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611604",
            "telephone_number": "845-590-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA MATTA DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "845-590-3408"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Patrick Diamond, MBBCH
• Michelle Kayla Diamond
• Pamela Diamond
• Rachel Tamar Diamond, CRNP
• Tara Leigh Diamond, LMSW
• Sara Diane
• Dianne Charles
• Dayanna Goncalves Dias, APRN-CNP
• Milca Natalia Diaz - Adames, RN
• Yordanka Diaz - Saez, MD

• Podiatric Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.