MARY MATTA
NPI 1992321228
Podiatrist - Foot & Ankle Surgery in Hackensack, NJ

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
211 ESSEX ST STE 405, HACKENSACK, NJ 07601(732) 421-6907 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, Aug 17, 2023, Jun 23, 2020 (3 updates tracked since 2020).

About Mary Matta NPPES

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

MARY MATTA (NPI 1992321228) is an individual foot & ankle surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MD00377700) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2018).

NPPES Registry Identity

NPI1992321228
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameMARY MATTA
Location Address211 ESSEX ST STE 405Hackensack, NJ 07601-3247
Mailing Address211 Essex St Ste 405Hackensack, NJ 07601-3247 · (732) 421-6907
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2018
Enumeration DateJune 23, 2020
Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1992321228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in NJ · 25MD00377700 Licensed in OH · 59.000871
211 ESSEX ST STE 405, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Matta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789033598
PECOS Enrollment IDI20231205002983
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Podiatrist
211 ESSEX ST STE 405
HACKENSACK,, NJ 07601
Podiatrist
211 ESSEX ST STE 405
HACKENSACK, NJ 07601
Podiatrist (Foot & Ankle Surgery)
211 ESSEX ST STE 405
HACKENSACK, NJ 07601
Psychiatry & Neurology (Neurology)
211 ESSEX ST STE 405
HACKENSACK, NJ 07601
Podiatrist (Foot & Ankle Surgery)
211 ESSEX ST STE 405
HACKENSACK, NJ 07601

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 Mary Matta's NPI number?

The NPI number for Mary Matta is 1992321228. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Mary Matta located?

Mary Matta practices at 211 Essex St Ste 405, Hackensack, NJ 07601. The listed phone number is (732) 421-6907.

What is Mary Matta's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mary Matta enrolled in Medicare?

Yes. Mary Matta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Matta was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.