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

Matthew Custodio

Individual provider Gastroenterology Physician · NPI 1770042988

Matthew Custodio is a Gastroenterology in Philadelphia, Pennsylvania. Graduated from State University of New York Downstate Medical Center in 2019, 7 years ago. Licensed in Pennsylvania.

Years since qualifying
7
Trained at
State University of New York Downstate Medical Center
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone: (215) 214-1424
Fax: (215) 214-1425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD489166 (PA)

Record details

NPI number1770042988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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