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

Matthew Demtrak, NP

Individual provider Nurse Practitioner · NPI 1396260352

Matthew Demtrak, NP is a Nurse Practitioner in Endwell, New York. Qualified in 2017, 9 years ago. Practices with Endwell Family Physicians LLP, a 26-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

415 Hooper Rd
Endwell, NY 13760-3698
Phone: (607) 754-3863
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 342079 (NY)

Record details

NPI number1396260352
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 10, 2017
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address415 Hooper Rd, Endwell, NY 13760-3698

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Endwell Family Physicians Llp — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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