MARY MATTHEOS PHYSICIAN P.C. (NPI# 1245426550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245426550 |
| Entity Type | Organization |
| Organization Name | MARY MATTHEOS PHYSICIAN P.C. |
| Practice Address |
350 W Montauk Hwy Lindenhurst NY 11757-5630 |
| Mailing Address |
350 West Montauk Highway Lindenhurst NY 11757 |
| Practice Telephone | 6319566002 |
| Mailing Telephone | 6319566002 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | DR. MARY MATTHEOS (DOCTOR) |
| Authorized Official Telephone | 6319566002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
350 W MONTAUK HWY |
| City | LINDENHURST |
| State | NY |
| Zip Code | 11757-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003858200 | Sriram Kothandan | Physical Therapist | 350 W Montauk Hwy, Lindenhurst, NY 11757-5630 | 2006-06-12 |
| 1477693240 | Christos Vasakiris | Chiropractor | 350 W Montauk Hwy, Lindenhurst, NY 11757-5630 | 2007-02-08 |
| 1609977719 | Mary Mattheos | Internal Medicine | 350 W Montauk Hwy, Lindenhurst, NY 11757-5630 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540758 | Alfred Michael Quiocho | Massage Therapist | Li Premier Physical and Aquatic Therapy, 155 W Sunrise Highway, Lindenhurst, NY 11757 | 2019-10-24 |
| 1407352081 | Bridget Mary Daly | Counselor | 154 N 4th St, Lindenhurst, NY 11757 | 2018-04-03 |
| 1518478494 | Care Choice LLC | Durable Medical Equipment & Medical Supplies | 654d North Wellwood Ave, Suite 317, Lindenhurst, NY 11757 | 2017-10-18 |
| 1700313574 | Priti Patel Physician P.C. | Internal Medicine | 791 North Wellwood Ave, Lindenhurst, NY 11757 | 2017-05-11 |
| 1619401452 | Erika Hawthorne | Specialist | 538 Broadhollow Road West Suite 202, Melville, NY 11757 | 2017-04-19 |
| 1801333778 | Jessica Eberhardt | Speech-Language Pathologist | 345 Pecan Street, Lindenhurst, NY 11757 | 2017-01-30 |
| 1376994749 | Mayerlin Delossantos | Behavioral Analyst | 81 Paine St., Lindenhurst, NY 11757 | 2016-06-28 |
| 1700231842 | Heather Simonson | Social Worker | 131 South Smith Street, Lindenhurst, NY 11757 | 2016-04-26 |
| 1689039513 | Long Island Pediatric Homecare | Home Health | 389 Thirty Third Street, Lindenhurst, NY 11757 | 2015-12-18 |
| 1689055691 | Jennifer Grogan | Specialist | 352 Charles St, Lindenhurst, NY 11757 | 2015-06-16 |
| Find all providers in zip 11757 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700313574 | Priti Patel Physician P.C. | Internal Medicine | 791 North Wellwood Ave, Lindenhurst, NY 11757 | 2017-05-11 |
| 1700908605 | Priti Patel Physician P.C. | Internal Medicine | 672 Wellwood Ave, Suite 4, Lindenhurst, NY 11757-1677 | 2007-04-04 |
| 1437279296 | Linda Marie Scarsella | Internal Medicine | 656 No Wellwood Ave, Louis Lasky Memorial Medical and Dental Center, Lindenhurst, NY 11757-1695 | 2007-03-29 |
| 1477607950 | David Huang | Internal Medicine | 500 So 3rd St, Lindenhurst, NY 11757 | 2007-01-22 |
| 1548245590 | Charles C Livoti | Internal Medicine | 502 South Wellwood Avenue, Lindenhurst, NY 11757 | 2005-12-13 |
| 1730179748 | Priti P Patel | Internal Medicine | 791 N Wellwood Ave, Suite 4, Lindenhurst, NY 11757-1210 | 2005-10-21 |
| 1790876589 | Julia Kogan | Internal Medicine | 1050 Red Oak Ln, Lindenhurst, IL 60046-4998 | 2006-09-27 |
| 1609977719 | Mary Mattheos | Internal Medicine | 350 W Montauk Hwy, Lindenhurst, NY 11757-5630 | 2006-09-25 |
| 1215997887 | Barry Hal Balot | Internal Medicine | 150 E Sunrise Hwy, Suite 101, Lindenhurst, NY 11757-2598 | 2006-03-27 |
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|---|---|---|---|---|
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| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | LINDENHURST |
| Zip Code | 11757 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.