Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Matrix Medical of New York PC

Organization Nurse Practitioner · NPI 1639433063

Matrix Medical of New York PC provides Nurse Practitioner services in New York, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1740 Broadway
New York, NY 10019-4315
Phone: (480) 862-1677
Fax: (480) 718-7643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1639433063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Peterson — Manager Credentialing · (877) 564-3627
NPI enumeratedJune 29, 2012
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address424 Church St Ste 220, Nashville, TN 37219-2464

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