ISAAC I. MATTA MD – NPI #1730157686
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

ISAAC MATTA is an otolaryngologist located in JOHNSON CITY, NY. NPPES has assigned the NPI number 1730157686 to ISAAC MATTA on March 08, 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 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 14 years ago on May 29, 2012. 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 ISAAC MATTA below.

NPI Profile for
ISAAC I. MATTA

NPI Number
1730157686
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ISAAC I. MATTA
Credentials
MD
Primary location
30 HARRISON ST
STE 400
JOHNSON CITY, NY 13790
Phone: (607) 763-8102 Fax: (607) 770-7375
Mailing address
346 GRAND AVE
JOHNSON CITY, NY 13790-2580
Phone: (607) 729-8156 Fax: (607) 729-3982
Sole Proprietor
No
Updated
Identifiers

Identifiers for ISAAC MATTA

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
MEDICAIDNY00365233
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
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)
NY 111035
207Y00000X
- Otolaryngology
NY 111035

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ISAAC MATTA is affiliated with the following medical group(s):
  • HOSPITAL
    • UNITED HEALTH SERVICES HOSPITALS, INC
      10-42 MITCHELL AVENUE
      BINGHAMTON, NY 13903

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.