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

Matthew Philip Whalen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649892563

Matthew Philip Whalen is a Physician Assistant in Saint James, New York. Qualified in 2020, 6 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020

Practice location Address checks out

188 4th St
Saint James, NY 11780-2304
Phone: (631) 862-5076
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649892563
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint James