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

Justin Grady Matrisciano, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1922093210

Justin Grady Matrisciano, MD is an Endocrinology in Dartmouth, Massachusetts. Graduated from State University of New York at Stony Brook, School of Medicine in 1994, 32 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group and offers telehealth. Licensed in Louisiana and Massachusetts.

Years since qualifying
32
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
LA, MA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone: (508) 996-3991
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 159233 (MA)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 202783 (LA)

Record details

NPI number1922093210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 13, 2005
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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