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ISAAC I MATTA MD NPI 1730157686


NPI Information

NPI: 1730157686
Provider Name: ISAAC I MATTA, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Organization: UNITED HEALTH SERVICES HOSPITALS INC

PECOS Registration: Yes

Address:
30 HARRISON ST
STE 400
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 763-8102
Get Directions

Isaac I Matta, MD is a facial plastic surgery otolaryngology in Johnson City, NY with 60 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Isaac I Matta, MD NPI is 1730157686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 HARRISON ST
STE 400
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 763-8102
Fax: (607) 770-7375

The NPI 1730157686 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 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 impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)
  • Destruction of skin growth (HCPCS:17000)

The enumeration date for this NPI number is 3/8/2006 and was last updated on 5/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology111035NEW YORKNo
2207YS0123XOtolaryngologyFacial Plastic Surgery111035NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J400059239MEDICARE PINNEW YORK
252838QMEDICARE PINNEW YORK
300365233MEDICAIDNEW YORK
4B34602MEDICARE UPIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.