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

Dr. Matthew Lobosco, MD

Individual provider Psychiatry Physician · NPI 1487896148

Dr. Matthew Lobosco, MD is a Psychiatry in Maplewood, New Jersey. Qualified in 2009, 17 years ago. Practices with Revived Soul Medical PC, a 15-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
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

515 Valley St Ste 203
Maplewood, NJ 07040-4300
Phone: (908) 663-2929
Fax: (908) 219-6213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Stony Brook University Hospital, Stony Brook, NY 11794-7148 — (631) 444-2754

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 271894 (NY)

Record details

NPI number1487896148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing address515 Valley St Ste 203, Maplewood, NJ 07040-4300

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Revived Soul Medical Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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