ELLI JACOB MATATOV (NPI# 1720697048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720697048 |
| Entity Type | Individual |
| Full Name | ELLI JACOB MATATOV |
| Practice Address |
714 E 9th St Brooklyn NY 11230-2202 |
| Practice Telephone | 3474627521 |
| Mailing Telephone | 3474627521 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
714 E 9TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1093313355 | Nanyamkah Jacquella Washington | Student in an Organized Health Care Education/Training Program | 280 Sterling St, Brooklyn, NY 11225-4113 | 2020-10-09 |
| 1750996476 | Charlotte Berthe Scott | Student in an Organized Health Care Education/Training Program | 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 | 2020-09-10 |
| 1336751429 | Chhabilal Bastola | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1710599840 | Saujan Devkota | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1831709260 | Taimy Falcon-rodriguez | Student in an Organized Health Care Education/Training Program | 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 | 2020-07-31 |
| 1639797178 | Alessia Field | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 | 2020-07-10 |
| 1124645361 | Danielle Bensimhon Greco | Student in an Organized Health Care Education/Training Program | 132 Remsen St, Brooklyn, NY 11201-4275 | 2020-07-04 |
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1184241838 | Sejndi Rusi | Student in an Organized Health Care Education/Training Program | 7001 Ridge Blvd Apt 4b, Brooklyn, NY 11209-1250 | 2020-06-29 |
| Find all providers in BROOKLYN | ||||
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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.