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

Dr. Matthew D Mack, MD

Individual provider General Practice Physician · NPI 1770506958

Dr. Matthew D Mack, MD is a Family Practice in Rochester, New York. Qualified in 2006, 20 years ago. Practices with His Branches Inc, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

340 Arnett Blvd
Rochester, NY 14619-1147
Phone: (585) 235-2250
Fax: (585) 235-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 252075 (NY)

Record details

NPI number1770506958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address180 Mount Vernon Ave, Rochester, NY 14620-2344

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice His Branches Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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