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

Dr. Matthew Nicholas Mavroson, DO

Individual provider Internal Medicine Physician · NPI 1164712329

Dr. Matthew Nicholas Mavroson, DO is an Internal Medicine in Roslyn Heights, New York. Qualified in 2011, 15 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
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

57 Laurel Ln
Roslyn Heights, NY 11577-1608
Phone: (516) 313-9949
Fax: (516) 300-1607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Bell Blvd, Bayside, NY 11361-2863 — (253) 968-1511

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 281826 (NY)

Record details

NPI number1164712329
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2011
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roslyn Heights