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

Dr. Maria Elena Matala-Sullivan, DO

Individual provider Family Medicine Physician · NPI 1912940214

Dr. Maria Elena Matala-Sullivan, DO is a Family Practice in Hamburg, New York. Graduated from Philadelphia College of Osteopathic Medicine in 1994, 32 years ago. Practices with Lakeshore Primary Care Associates, LLP, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4855 Camp Rd Ste 100
Hamburg, NY 14075
Phone: (716) 646-1084
Fax: (716) 646-0786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 210175 (NY)

Record details

NPI number1912940214
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 21, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1994 (32 years in practice)
Group practice Lakeshore Primary Care Associates, Llp — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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