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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAVROSON FUNCTIONAL MEDICINE, P.C.
NPI 1558268458
Internal Medicine in Roslyn Heights, NY

Active since October 22, 2026
57 LAUREL LN, ROSLYN HEIGHTS, NY 11577(516) 313-9949(516) 300-1607 Get Directions Write a Review

NPPES record added: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mavroson Functional Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVROSON FUNCTIONAL MEDICINE, P.C. (NPI 1558268458) is a healthcare organization registered as an internal medicine in Roslyn Heights, New York and active in the NPI registry since October 2026. The organization lists Matthew Mavroson, President, as its authorized official.

NPPES Registry Identity

NPI1558268458
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAVROSON FUNCTIONAL MEDICINE, P.C.
Location Address57 LAUREL LNRoslyn Heights, NY 11577-1608
Mailing Address57 Laurel LnRoslyn Heights, NY 11577-1608 · (516) 313-9949 · Fax (516) 300-1607
Phone(516) 313-9949
Fax(516) 300-1607
Organization SubpartNo
Authorized OfficialMatthew MavrosonPresident · (516) 313-9949
Enumeration DateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1558268458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
57 LAUREL LN, Roslyn Heights, NY 11577
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW NICHOLAS MAVROSON D.O.
Internal Medicine
57 LAUREL LN
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 313-9949
MAVROSON MEDICAL PC
Internal Medicine
57 LAUREL LN
ROSLYN HEIGHTS, NY 11577
Nassau County (516) 313-9949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mavroson Functional Medicine, P.C.'s NPI number?

The NPI number for Mavroson Functional Medicine, P.C. is 1558268458. It was assigned to this organization in the NPPES registry on October 22, 2026.

Where is Mavroson Functional Medicine, P.C. located?

Mavroson Functional Medicine, P.C. is located at 57 Laurel Ln, Roslyn Heights, NY 11577. The listed phone number is (516) 313-9949.

What is Mavroson Functional Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mavroson Functional Medicine, P.C. was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.