Salim A Matar (NPI# 1609891571, PAC ID# 5597897306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1609891571 |
PAC ID by PECOS | 5597897306 |
Professional Enrollment ID | I20100714000614 |
Full Name | Salim A Matar |
Address |
640 Belle Terre Rd C Port Jefferson NY 11777-1936 |
Gender | M |
Graduation Year | 1984 |
Primary Specialty | OTOLARYNGOLOGY |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
Address | Phone | Organization |
---|---|---|
640 Belle Terre Rd C, Port Jefferson, NY 11777-1936 |
Street Address |
640 BELLE TERRE RD C |
City | PORT JEFFERSON |
State | NY |
Zip | 11777-1936 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrea S Coladner | Physical Medicine and Rehabilitation | 6 Cove Ln, Port Jefferson, NY 11777-1103 | |
Toni Derman | Clinical Social Worker | 33 Landing Lane, Port Jefferson, NY 11777-1106 | |
Gabrielle Lofaso | Psychologist, Clinical | 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120 | |
Ronald Fein | Clinical Social Worker | 19 Waterview Dr, Port Jefferson, NY 11777-1169 | |
Constance E Schoenberg | Psychologist, Clinical | 201 E Broadway, Port Jefferson, NY 11777-1248 | |
Marguerite F Metzendorf | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
Dorothy M Lilly | Clinical Social Worker | 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400 | |
Guy Anthony Koutouvidis | Clinical Social Worker | 14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400 | |
Sharon Lyn Zariello | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
Susan Prechtl-loper | Physical Therapy | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | |
Find all physicians in zip 11777 |
City | PORT JEFFERSON |
Zip Code | 11777 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | PORT JEFFERSON + OTOLARYNGOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.