MATARASSO SURGICAL


Address: 1009 Park Ave, New York, NY 10028-0936
Phone: 2122497500

MATARASSO SURGICAL (NPI# 1811430507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811430507
Entity Type Organization
Organization Name MATARASSO SURGICAL
Practice Address 1009 Park Ave
New York
NY 10028-0936
Practice Telephone 2122497500
Practice Fax Number 2126285000
Mailing Telephone 2122497500
Mailing Fax Number 2126285000
Enumeration Date 2016-11-29
Last Update Date 2016-11-29
Authorized Official Name DR. ALAN MATARASSO (OWNER)
Authorized Official Telephone 2122497500
Authorized Official Credential MD, FACS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
142557 NY Ambulatory Health Care Facilities

Office Location

Street Address 1009 PARK AVE
City NEW YORK
State NY
Zip Code 10028-0936

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922161090 Barbara Schwartz Physical Medicine & Rehabilitation 1009 Park Ave, New York, NY 10028-0936 2006-12-19
1265627079 Allen Wilkins Physical Medicine & Rehabilitation 1009 Park Ave, New York, NY 10028-0936 2007-09-14
1205970142 Loren M Fishman Physical Medicine & Rehabilitation 1009 Park Ave, New York, NY 10028-0936 2007-02-16
1639222524 Alan Matarasso Plastic Surgery 1009 Park Ave, New York, NY 10028-0936 2007-01-22

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1083262539 Uptown Surgical Services P.c Clinic/Center 111 East 71st Street, New York, NY 10021 2019-08-28
1922666940 Gpddc, LLC Clinic/Center 2 Bennett Ave Fl 2, New York, NY 10033-2148 2019-06-04
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1346792165 Hss Asc of Manhattan LLC Clinic/Center 1233 2nd Ave, New York, NY 10065-6705 2016-10-27
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Competitor

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City NEW YORK
Zip Code 10028

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Dataset Information

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.

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