DR. FARRAH J MATEEN MD NPI 1396834446

NPI Information

NPI: 1396834446
Provider Name: DR. FARRAH J MATEEN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
55 FRUIT ST
AC720, DEPARTMENT OF NEUROLOGY
BOSTON, MA
ZIP 02114
Phone: (617) 726-2383
Get Directions

DR. Farrah J Mateen, MD is a neurology psychiatry neurology in Boston, MA with 19 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Farrah J Mateen, MD NPI is 1396834446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
AC720, DEPARTMENT OF NEUROLOGY
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-2383

The NPI 1396834446 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), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/16/2013.

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	207R00000X	Internal Medicine		48967	MINNESOTA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	D69799	MARYLAND	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	507948000	MEDICAID	MINNESOTA
2	036671400	MEDICAID	MARYLAND
3	130001301	MEDICARE PIN	MINNESOTA
4	190125YVA	MEDICARE PIN	MARYLAND
5	I 62609	MEDICARE UPIN	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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