IndividualActive
Nicholas Mata, MD
NPI 1750736658 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Baltimore, MD
Provider details
- NPI number
- 1750736658
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D90988 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Phone: (844) 940-7246
Fax: (833) 909-4296
Approximate (ZIP-level) locationGet directions
Mailing address
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.