# DR. AYMAN MATTA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841288388
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 215965-1 | NY | — |
| 207W00000X | Ophthalmology Physician | 215965-1 | NY | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 12/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000056446 | GHI MEDICAID ID \# | NY |
| 05 | — | 02215396 | — | NY |
| 01 | — | 0498447 | GHI PPO ID \# | NY |
| 01 | — | 10059047 | CDPHP ID \# | NY |
| 01 | — | 215965 | HIP ID \# | NY |
| 01 | — | 3471925 | AETNA HMO ID \# | NY |
| 01 | — | 3C6549 | HEALTHNET ID \# | NY |
| 01 | — | 41206000018 | FIDELIS ID \# | NY |
| 01 | — | 455A61 | EMPIRE BCBS OF NY ID \# | NY |
| 01 | — | 7733286 | AETNA PPO ID \# | NY |
| 01 | — | H20323 | UPIN \# | NY |
| 01 | — | P3302156 | OXFORD ID \# | NY |
| 01 | — | U70433 | AMERIHEALTH ADMINISTRATOR | NY |