IndividualActive
Kenneth Mattucci, M.D.
NPI 1013957059 · Specialist · Great Neck, NY
Kenneth Mattucci, M.D. is a Specialist provider in Great Neck, NY (NPI 1013957059).
Provider details
- NPI number
- 1013957059
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 096685 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29 Barstow Rd
Suite 203
Great Neck, NY 11021-2209
Phone: (516) 482-7960
Fax: (516) 482-4122
Street-level locationGet directions
Mailing address
11 Nome Dr
Woodbury, NY 11797-3404
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2008-11-25
Frequently asked questions
- What is Kenneth Mattucci's NPI number?
- Kenneth Mattucci's National Provider Identifier (NPI) is 1013957059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Mattucci's specialty?
- Kenneth Mattucci is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kenneth Mattucci located?
- Kenneth Mattucci's practice location on file with NPPES is 29 Barstow Rd, Great Neck, NY 11021-2209.
- What is Kenneth Mattucci's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Mattucci is (516) 482-7960.
- Is Kenneth Mattucci's NPI active?
- Yes — Kenneth Mattucci's NPI (1013957059) is active in the NPPES registry as of the last update on 2008-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.