Dr. Matthew Robert Wagner
MD | Pediatric Orthopedic
1500 Route 112 Bldg 2c, Port Jefferson Station
New York, 11776-8055
631-371-8034 631-828-7899
Maps & DirectionsDr. Matthew Robert Wagner is a Port Jefferson Station, New York based orthopedic surgeon who is specialized in Pediatric Orthopedic. Active license number of Dr. Matthew Robert Wagner is 251727 for Pediatric Orthopedic in New York.
Dr. Matthew Robert Wagner has done additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Complete Profile:
Dr. Matthew Robert Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Pediatric Orthopedic |
| Credentials: | MD |
| Gender: | Male |
| Practice Address: | 1500 Route 112 Bldg 2c, Port Jefferson Station,
New York, 11776-8055 |
| Phone: | 631-371-8034 |
| Fax: | 631-828-7899 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1114198751 |
| NPI Enumeration Date: | 21 Mar, 2008 |
| NPI Last Update On: | 05 Nov, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Robert Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| 251727 | Pediatric Orthopedic | New York | Primary | |
| ME103612 | Pediatric Orthopedic | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Matthew Robert Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 120130521000407 | Other | New York | MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1500 Route 112 Bldg 2c,
Port Jefferson Station, New York |
| Zip: | 11776-8055 |
| Phone Number: | 631-371-8034 |
| Fax Number: | 631-828-7899 |
Patients can reach Dr. Matthew Robert Wagner at
1500 Route 112 Bldg 2c, Port Jefferson Station, New York or can
call to book an appointment on 631-371-8034.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Matthew Robert Wagner below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Matthew Robert Wagner. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.