What is Supernova Consulting LLC's NPI number?

Supernova Consulting LLC's National Provider Identifier (NPI) is 1205486800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Supernova Consulting LLC?

Supernova Consulting LLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Supernova Consulting LLC located?

Supernova Consulting LLC's practice location on file with NPPES is 4550 E Bell Rd Ste 150, Phoenix, AZ 85032-9382.

What is Supernova Consulting LLC's phone number?

The practice phone number listed in the NPPES registry for Supernova Consulting LLC is (480) 576-4310.

Who is the authorized official for Supernova Consulting LLC?

The authorized official listed on Supernova Consulting LLC's NPPES record is Tim Matatov, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Supernova Consulting LLC's NPI active?

Yes — Supernova Consulting LLC's NPI (1205486800) is active in the NPPES registry as of the last update on 2021-04-26.

OrganizationActive

Supernova Consulting LLC

NPI 1205486800 · Plastic Surgery Physician · Phoenix, AZ

Supernova Consulting LLC is a Plastic Surgery Physician organization in Phoenix, AZ (NPI 1205486800).

Provider details

NPI number: 1205486800
Entity type: Organization
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Tim Matatov, Ceo(480) 576-4310

Practice location

4550 E Bell Rd Ste 150

Phoenix, AZ 85032-9382

Phone: (480) 576-4310

Street-level locationGet directions

More AZ providers

Mailing address

4550 E Bell Rd Ste 150

Phoenix, AZ 85032-9382

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000X
Allopathic & Osteopathic Physicians

Additional practice locations (1)

10910 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3080
Phone: (480) 291-6895

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

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.

Enumerated: 2019-09-16
Last updated: 2021-04-26
Certified: 2021-04-26

Frequently asked questions

What is Supernova Consulting LLC's NPI number?: Supernova Consulting LLC's National Provider Identifier (NPI) is 1205486800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Supernova Consulting LLC?: Supernova Consulting LLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Supernova Consulting LLC located?: Supernova Consulting LLC's practice location on file with NPPES is 4550 E Bell Rd Ste 150, Phoenix, AZ 85032-9382.
What is Supernova Consulting LLC's phone number?: The practice phone number listed in the NPPES registry for Supernova Consulting LLC is (480) 576-4310.
Who is the authorized official for Supernova Consulting LLC?: The authorized official listed on Supernova Consulting LLC's NPPES record is Tim Matatov, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Supernova Consulting LLC's NPI active?: Yes — Supernova Consulting LLC's NPI (1205486800) is active in the NPPES registry as of the last update on 2021-04-26.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Frequently asked questions