JOSEPH MATTANA (MD) – Nephrology Physician, NPI 1538230628

JOSEPH MATTANA (MD) is a healthcare provider. based in Bridgeport, Connecticut. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 181224 (NY). The NPI Number for JOSEPH MATTANA (MD) is 1538230628

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH MATTANA (MD)
NPI
1538230628
Phone
(475) 210-5022
Address
2800 MAIN ST
Enumeration Date
13 November 2006
Last Update Date
30 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2129391840
Graduation Year
1987 (39 years ago)
PAC ID
4486742350
Group Practice PAC ID
4688098833
Professional Enrollment ID
I20071112000278
Address ID
NY100371802NE506XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

18,056 INTERNAL MEDICINE in NY

Loading map...

Provider Addresses for JOSEPH MATTANA (MD)

  • Daniel T Banks Health Science Library, 2800, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States

    BRIDGEPORT, CT 066064201

    Phone: (475) 210-5022

    Type: Mailing

  • 200, Old Country Road, Mineola, North Hempstead, Nassau County, New York, 11501, United States

    SUITE 135

    MINEOLA, NY 115014235

    Phone: (516) 663-2169

    Fax: (516) 663-2179

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071112000278IInternal MedicineNYTBD
I20171030003364INephrologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06606)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688098833View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Emergency MedicineNY
Psychiatry, Geriatric PsychiatryNY
Hospice/Palliative Care, Internal MedicineNY
Certified Registered Nurse Anesthetist (Crna)FL
Diagnostic RadiologyPA
Gastroenterology, Internal MedicineNY
Internal MedicineNY
Emergency MedicineCA
Orthopedic SurgeryNY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for JOSEPH MATTANA (MD) in U.S. healthcare records?
The official identifier for JOSEPH MATTANA (MD) is NPI 1538230628.
Would JOSEPH MATTANA (MD) appear as active to a payer?
You can treat JOSEPH MATTANA (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOSEPH MATTANA (MD)?
At a glance, JOSEPH MATTANA (MD) is tied to Nephrology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOSEPH MATTANA (MD)?
Directory geography for JOSEPH MATTANA (MD) centers on Bridgeport, Connecticut.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

PAUL BARRY NUSSBAUM (M.D.)

Nephrology Physician
900, Madison Avenue, Toilsome Hill, Bridgeport, Fairfield County, Connecticut, 06606, United States
NPI: 1215936083

JAMES PATRICK GAVIN (M.D.)

Nephrology Physician
900, Madison Avenue, Toilsome Hill, Bridgeport, Fairfield County, Connecticut, 06606, United States
NPI: 1609875491

IRWIN DAVID FEINTZEIG (M.D.)

Nephrology Physician
7 CAMBRIDGE DR STE 201
NPI: 1902805773

MITCHELL ANDREW FOGEL (M.D.)

Nephrology Physician
900, Madison Avenue, Toilsome Hill, Bridgeport, Fairfield County, Connecticut, 06606, United States
NPI: 1003815887

WILLIAM ALLEN HUNT (MD)

Nephrology Physician
7 CAMBRIDGE DR STE 201
NPI: 1396744041

GREGORY K. BULLER (M.D.)

Nephrology Physician
Bridgeport Hospital, 267, Grant Street, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States
NPI: 1154321768

ROBERT CHAI KIM (M.D.)

Nephrology Physician
900, Madison Avenue, Toilsome Hill, Bridgeport, Greater Bridgeport Planning Region, Connecticut, 06606, United States
NPI: 1396737870

NEPHROLOGY ASSOCIATES, PC

Nephrology Physician
7 CAMBRIDGE DR STE 201
NPI: 1609825223

KYUNG HO KIM (MD)

Internal Medicine Physician
DEPT OF MEDICINE; STONY BROOK UNIVERSITY HOSPITAL
NPI: 1063687929