Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS MATA, MD
Active Sole ProprietorNICHOLAS MATA, MD is a Pain Medicine (PM&R) healthcare provider located in BALTIMORE, Maryland. NPI 1750736658 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · BALTIMORE, MD
Registration Details
- NPI Number
- 1750736658
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2016 (10.332789596187 yrs)
- Last Updated
- Mar 2, 2026
- License
-
D90988 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5601 LOCH RAVEN BLVDBALTIMORE, MD, 212392950Browse MD providers · Browse ZIP 21239
- Phone
- 8449407246
- Fax
- 8339094296
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Other Pain Medicine (PM&R) Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| LISA JOY ENDERS GRANT | MD | 1487642310 |
| JASON P BROKAW | MD | 1033107941 |
| DR. NELSON LEE KOHN | M.D. | 1356302475 |
| DR. ROBERT ALAN LAVIN | M.D. | 1487612263 |
| NORMAN B ROSEN | M.D. | 1295789311 |
| MS. VALERIE G GRIFFITH | PHYSICAL THERAPIST | 1487711628 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.