TIMOTHY D. MATTISON MD – NPI #1558301861
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

TIMOTHY MATTISON is a dermatologist located in MOUNT KISCO, NY. NPPES has assigned the NPI number 1558301861 to TIMOTHY MATTISON on June 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 18 years ago on Nov 10, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY MATTISON below.

NPI Profile for
TIMOTHY D. MATTISON

NPI Number
1558301861
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY D. MATTISON
Credentials
MD
Primary location
MOUNT KISCO MEDICAL GROUP, PC
90 SOUTH BEDFORD ROAD
MOUNT KISCO, NY 10549-3412
Phone: (914) 241-1050 Fax: (914) 242-1516
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for TIMOTHY MATTISON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00563933
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)
NY 131143
207N00000X
- Dermatology
NY 131143

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.