DIANA MATTA DPM NPI 1003974684

NPI Information

NPI: 1003974684
Provider Name: DIANA MATTA, DPM
Classification: Specialist - 174400000X
Entity Type: Individual
PECOS Registration: Yes
Address: 470 LENOX AVE
DIANA MATTA
NEW YORK, NY
ZIP 10037
Phone: (212) 569-3310

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NPI Details

Diana Matta, DPM is a specialist in New York, NY with 38 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Diana Matta, DPM NPI is 1003974684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1988

The provider's business location address is:

470 LENOX AVE
DIANA MATTA
NEW YORK, NY
ZIP 10037
Phone: (212) 569-3310

The NPI 1003974684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Removal of skin of fingernail or toenail (HCPCS:11765)
Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		N004506	NEW YORK	No
2	174400000X	Specialist		N004506	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	T81561	MEDICARE UPIN	NEW YORK
2	01128578	MEDICAID	NEW YORK
3	P46811	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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