Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Matthew Peter Koss, PA-C

Individual provider Surgical Physician Assistant · NPI 1154670263

Mr. Matthew Peter Koss, PA-C is a Surgical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3498
Phone: (718) 226-8851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 015867 (NY)

Record details

NPI number1154670263
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012

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