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

Matthew Mikalonis

Individual provider Registered Nurse · NPI 1669361549

Matthew Mikalonis is a Certified Registered Nurse Anesthetist (CRNA) in Merrick, New York. Qualified in 2025, 1 year ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2337 Birch St
Merrick, NY 11566-2842
Phone: (516) 477-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 156043 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 753790-01 (NY)

Record details

NPI number1669361549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address2337 Birch St, Merrick, NY 11566-2842

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Merrick