Matrix Medical of New York PC
NPI 1639433063 · Nurse Practitioner · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matrix Medical of New York PC is a Nurse Practitioner organization in New York, NY (NPI 1639433063).
Provider details
- NPI number
- 1639433063
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stephanie Peterson, Manager Credentialing(877) 564-3627
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Matrix Medical of New York PC's NPI number?
- Matrix Medical of New York PC's National Provider Identifier (NPI) is 1639433063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Matrix Medical of New York PC?
- Matrix Medical of New York PC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matrix Medical of New York PC located?
- Matrix Medical of New York PC's practice location on file with NPPES is 1740 Broadway, New York, NY 10019-4315.
- What is Matrix Medical of New York PC's phone number?
- The practice phone number listed in the NPPES registry for Matrix Medical of New York PC is (480) 862-1677.
- Does Matrix Medical of New York PC accept Medicare?
- Matrix Medical of New York PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Matrix Medical of New York PC?
- The authorized official listed on Matrix Medical of New York PC's NPPES record is Stephanie Peterson, Manager Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Matrix Medical of New York PC's NPI active?
- Yes — Matrix Medical of New York PC's NPI (1639433063) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.