Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek Noel Mattimoe, MD

Individual provider Family Medicine Physician · NPI 1164494613

Dr. Derek Noel Mattimoe, MD is a Family Practice in Stony Brook, New York. Graduated from Columbia University College of Physicians and Surgeons in 1997, 29 years ago. Practices with Chs Physician Partners PC, a 747-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2500 Nesconset Hwy Bldg 7D
Stony Brook, NY 11790-2555
Phone: (631) 751-3322
Fax: (631) 751-3844
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 216334 (NY)

Record details

NPI number1164494613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2500 Nesconset Hwy, Bldg 7d, Stony Brook, NY 11790-2555

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1997 (29 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stony Brook