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

Mr. Nicolas Matta Jr.

Individual provider Specialist · NPI 1578966602

Mr. Nicolas Matta Jr. is a Specialist in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

41-20 158th Street 3 Fl
Flushing, NY 11358
Phone: (347) 526-1023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 843232141 (NY)

Record details

NPI number1578966602
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2014
Last updated in NPPESOctober 3, 2014

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