DR. DAVID MATTOS MD MBA NPI 1790105526

NPI Information

NPI: 1790105526
Provider Name: DR. DAVID MATTOS, MD, MBA
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: LONG ISLAND PLASTIC SURGICAL GROUP, PC

PECOS Registration: Yes

Address:
999 FRANKLIN AVE
GARDEN CITY, NY
ZIP 11530
Phone: (516) 742-3404
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DR. David Mattos, MD, MBA is a plastic and reconstructive surgery surgery in Garden City, NY with 10 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. David Mattos, MD, MBA NPI is 1790105526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2014

The provider's business location address is:

999 FRANKLIN AVE
GARDEN CITY, NY
ZIP 11530-913
Phone: (516) 742-3404

The NPI 1790105526 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 4/20/2014 and was last updated on 10/23/2020.

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	2086S0122X	Surgery	Plastic and Reconstructive Surgery	301652	NEW YORK	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program			MASSACHUSETTS	No

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

NPI Synchronization or Removal

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