Provider Demographics
NPI:1326267568
Name:AYMAN Z. MATTA, M.D., P.C.
Entity Type:Organization
Organization Name:AYMAN Z. MATTA, M.D., P.C.
Other - Org Name:NEW YORK EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SURGEON DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:MATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-359-7272
Mailing Address - Street 1:99 DUTCHHILL PLAZA
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-2185
Mailing Address - Country:US
Mailing Address - Phone:845-359-7272
Mailing Address - Fax:845-680-6731
Practice Address - Street 1:99 DUTCH HILL RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-2185
Practice Address - Country:US
Practice Address - Phone:845-359-7272
Practice Address - Fax:845-680-6731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215965207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02215396Medicaid
NYH20323Medicare UPIN
NY02215396Medicaid