Healthcare Provider Details

I. General information

NPI: 1437772860
Provider Name (Legal Business Name): MATAN HAIM URIEL M.D. MSC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 LITTLE ALBANY ST
NEW BRUNSWICK NJ
08901-1914
US

IV. Provider business mailing address

1330 1ST AVENUE APT 1404
NEW YORK NY
10021
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-2465
  • Fax:
Mailing address:
  • Phone: 212-810-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA12839500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: