Active NPI
Marshall Ira Matos, MD
- Cardiovascular Disease Physician
- New Rochelle, NY
National Provider Identifier
1982767067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 135068
- Practice address
- 140 Lockwood Avenue
Suite 310
New Rochelle, NY 10801-4915 - Phone
- (914) 576-7171
- Fax
- (914) 576-4770
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 135068 | NY | Primary |
Addresses
Primary practice location
140 Lockwood Avenue
Suite 310
New Rochelle, NY 10801-4915
Mailing address
140 Lockwood Avenue
Suite 310
New Rochelle, NY 10801-4915
Phone (914) 576-7171
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2C4798 | Other | HEALTHNET | |
| 0795550 | Other | CIGNA | |
| 0079828 | Other | GHI | |
| 93A791 | Other | BLUE CROSS | |
| WS965 | Other | OXFORD |
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
- Cardiovascular Disease (Cardiology)
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1977
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Hospital & facility affiliations
- Montefiore Medical Center
- Montefiore New Rochelle Hospital
- White Plains Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Heart Specialists LLP | Cardiovascular Disease | Past | Accepting new patients |
| New Rochelle Cardiology Assoc | Cardiovascular Disease | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Cardiovascular Disease Physician
- New Rochelle, NY
- NPI 1043387079
-
- Cardiovascular Disease Physician
- New Rochelle, NY
- NPI 1811068257
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- New Rochelle, NY
- NPI 1720414154
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1982767067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 LOCKWOOD AVENUE",
"address_2": "SUITE 310",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108014915",
"telephone_number": "914-576-7171",
"fax_number": "914-840-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 LOCKWOOD AVENUE",
"address_2": "SUITE 310",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108014915",
"telephone_number": "914-576-7171",
"fax_number": "914-576-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "MARSHALL",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "135068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C4798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0795550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0079828",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "93A791",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WS965",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.