Samy Matta, is a
Surgery physician based in Ridgewood, New York. Samy Matta is licensed to practice in New York (license number P116973) and his current practice location is 1932 Grove St Apt 2, Ridgewood, New York. He can be reached at his office (for appointments etc.) via phone at
(929) 290-4162.
NPI number for Samy Matta is 1073234431 and his current mailing address is 1932 Grove St Apt 2, Ridgewood, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073234431.
Physician's Profile
| Full Name | Samy Matta |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1932 Grove St Apt 2, Ridgewood, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073234431
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 09/06/2022
Medical Identifiers
Medical identifiers for Samy Matta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073234431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | P116973 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samy Matta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samy Matta,
1932 Grove St Apt 2,
Ridgewood, NY 11385-2795
Ph: (929) 290-4162 | Samy Matta,
1932 Grove St Apt 2,
Ridgewood, NY 11385-2795
Ph: (929) 290-4162 |
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