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NPI · 1114198751 · NPPES-sourced

Dr. Matthew Wagner MD

ActivePediatric Orthopaedic Surgery
NPI Number
1114198751
Type 1 · Individual
Taxonomy Code
207XP3100X
Contact
(631) 371-8034
License NY · 251727
Last Updated
About 6 years ago (Nov 2019)
Enumerated 2008-03-21
Primary practice addressNY · 11776-8055
1500 Route 112 Bldg 2cPort Jefferson Station, NY 11776-8055
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About this NPIWhat this record shows.

NPI 1114198751 is registered to Dr. Matthew Wagner MD, a Pediatric Orthopaedic Surgery practising at 1500 Route 112 Bldg 2c in Port Jefferson Station, New York. Pediatric Orthopaedic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Matthew Wagner MD has been enumerated in the National Provider Identifier (NPI) registry since 2008.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2008-03-21
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 120130521000407NY· Issued by MEDICARE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Matthew Wagner MD accepts. To confirm in-network status with your specific health plan, contact Dr. Matthew Wagner MD directly at (631) 371-8034.

Frequently asked

Yes. NPI 1114198751 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Orthopaedic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (631) 371-8034.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Matthew Wagner MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207XP3100X
Last updated2019-11
Enumerated2008-03-21
StatusActive
Partneri
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