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

Ivan Matsumoto

Individual provider Specialist · NPI 1689036816

Ivan Matsumoto is a Specialist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

444 W 54th St Apt # 12
New York, NY 10019-7605 Not confirmed with CMS for 10 years — call before visiting
Phone: (808) 226-3431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 22MA1267932 (NY)

Record details

NPI number1689036816
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2016
Last updated in NPPESMarch 26, 2016

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