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

Marina Matatova, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881977304

Marina Matatova, DO is a Dermatology in Elmhurst, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2009, 17 years ago. Practices with Bb Medical and Dermatology Inc, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2011
Specialties on file
2
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

4037 74th St
Elmhurst, NY 11373-5603
Phone: (718) 651-7000
Fax: (718) 606-8966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 259160 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 259160 (NY)

Record details

NPI number1881977304
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 21, 2011
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address4037 74th St, Elmhurst, NY 11373-5603

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2009 (17 years in practice)
Group practice Bb Medical And Dermatology Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elmhurst