MATTHEW FORTUNATO PA-C
NPI 1710462767
Physician Assistant - Medical in Brooklyn, NY
About Matthew Fortunato Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW FORTUNATO PA-C (NPI 1710462767) is an individual medical provider in Brooklyn, New York, licensed in New York (022654) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Fortunato Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
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 Matthew Fortunato's NPI number?
The NPI number for Matthew Fortunato is 1710462767. It was assigned to this individual provider in the NPPES registry on September 26, 2018.
Where is Matthew Fortunato located?
Matthew Fortunato practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-8000.
What is Matthew Fortunato's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Matthew Fortunato enrolled in Medicare?
Yes. Matthew Fortunato is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Fortunato was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Matthew Fortunato, PA-C · NPI 1710462767
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since September 26, 2018.
## Identity
- **NPI:** 1710462767 (Entity type: Individual)
- **Enumerated:** September 26, 2018
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 022654 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 121 DEKALB AVE, Brooklyn, NY 11201-5493
- **Phone:** (718) 250-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1710462767) · Data from the CMS NPPES public registry.