ELLI JACOB MATATOV

Address: 714 E 9th St, Brooklyn, NY 11230-2202
Phone: 3474627521

ELLI JACOB MATATOV (NPI# 1720697048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720697048
Entity Type Individual
Full Name ELLI JACOB MATATOV
Practice Address 714 E 9th St
Brooklyn
NY 11230-2202
Practice Telephone 3474627521
Mailing Telephone 3474627521
Enumeration Date 2020-07-23
Last Update Date 2020-07-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 714 E 9TH ST
City BROOKLYN
State NY
Zip Code 11230-2202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891392940 Dr Omolola Omishore Pt, P.C. Physical Therapist 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 2020-10-01
1902411531 Limelite Recovery Inc. Durable Medical Equipment & Medical Supplies 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 2020-09-10
1861054793 Morris Kiss Case Manager/Care Coordinator 1851 Coney Island Ave., Brooklyn, NY 11230 2019-07-01
1679047062 Katherine Michelle Moreno Social Worker 1309 -1311 Foster Ave, Brooklyn, NY 11230 2019-01-18
1295229987 Alexander Kuravsky Specialist 890 E. 14th St Apt A2, Brooklyn, NY 11230 2018-06-18
1740787308 Madelaine Paula Wolfond Social Worker 1309-1311 Foster Ave., Brooklyn, NY 11230 2018-04-10
1245746288 Nora Salaheldin Ahmed I Physical Therapist 1440 Ocean Parkway,4k, Brooklyn, NY 11230 2017-12-27
1124539192 Victoria Zavalunova Case Manager/Care Coordinator 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 2017-10-18
1841717576 John Philip Gaac Physical Therapist 954 E 15th St Apt 3c, Brooklyn, NY 11230 2017-08-23
1134641707 Brenda E Leibowitz Speech-Language Pathologist 864 East 13th Street, Brooklyn, NY 11230 2017-07-14
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770266 Fahad Gul Khan Student in an Organized Health Care Education/Training Program 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 2020-11-02
1093313355 Nanyamkah Jacquella Washington Student in an Organized Health Care Education/Training Program 280 Sterling St, Brooklyn, NY 11225-4113 2020-10-09
1750996476 Charlotte Berthe Scott Student in an Organized Health Care Education/Training Program 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 2020-09-10
1336751429 Chhabilal Bastola Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 2020-08-19
1710599840 Saujan Devkota Student in an Organized Health Care Education/Training Program 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 2020-08-19
1831709260 Taimy Falcon-Rodriguez Student in an Organized Health Care Education/Training Program 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 2020-07-31
1639797178 Alessia Field Student in an Organized Health Care Education/Training Program 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-Msc24, Brooklyn, NY 11203-2012 2020-07-10
1124645361 Danielle Bensimhon Greco Student in an Organized Health Care Education/Training Program 132 Remsen St, Brooklyn, NY 11201-4275 2020-07-04
1992322267 Sohrab Singh Student in an Organized Health Care Education/Training Program House Staff/Gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 2020-07-02
1184241838 Sejndi Rusi Student in an Organized Health Care Education/Training Program 7001 Ridge Blvd Apt 4b, Brooklyn, NY 11209-1250 2020-06-29
Find all providers in BROOKLYN

Competitor

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City BROOKLYN
Zip Code 11230

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.