IndividualActive
Dominick Matarrese
NPI 1104210160 · Addiction (Substance Use Disorder) Counselor · Staten Island, NY
Provider details
- NPI number
- 1104210160
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% 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
273 Heberton Ave
Staten Island, NY 10302-1809
Phone: (718) 412-3170
Fax: (718) 420-0514
Street-level locationGet directions
Mailing address
273 Heberton Ave
Staten Island, NY 10302-1809
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2015-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.