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

Devica Matuknath

Individual provider Family Nurse Practitioner · NPI 1053096578

Devica Matuknath is a Family Nurse Practitioner in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-4000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 351557 (NY)

Record details

NPI number1053096578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

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