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ELLI JACOB MATATOV
NPI 1720697048
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since July 23, 2020
714 E 9TH ST, BROOKLYN, NY 11230(347) 462-7521 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elli Jacob Matatov NPPES

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

ELLI JACOB MATATOV (NPI 1720697048) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1720697048
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELLI JACOB MATATOV
Location Address714 E 9TH STBrooklyn, NY 11230-2202
Mailing Address714 E 9th StBrooklyn, NY 11230-2202 · (347) 462-7521
Phone(347) 462-7521
Sole ProprietorYes
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1720697048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
714 E 9TH ST, Brooklyn, NY 11230
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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 Elli Matatov's NPI number?

The NPI number for Elli Matatov is 1720697048. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Elli Matatov located?

Elli Matatov practices at 714 E 9th St, Brooklyn, NY 11230. The listed phone number is (347) 462-7521.

What is Elli Matatov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elli Matatov was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.