Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matrix Medical of New York PC

Organization Nurse Practitioner · NPI 1639433063

Matrix Medical of New York PC is a Nurse Practitioner 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.

See every abbreviation used in this directory →

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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